Home » Categories » Medicare / Medicaid

What are Hospital Issued Notice of Non-Coverage (HINN) Letters?


Like the Hospital Advance Beneficiary Notice (HABN), Hospital-Issued Notices of Noncoverage (HINNs) are notices given by a hospital to let the patient know that Medicare may not cover their admission or inpatient stay while at the hospital.  The notice is usually given to the patient in the form of a letter.  When a hospital believes that Medicare will not pay for a patient’s admission or continued stay at their hospital, they are required to notify the patient in writing .  This allows the patient to be fully informed about decisions they must make that are affected by their Medicare coverage as well as payment for his or her inpatient stay at the hospital.

Hospitals provide Hospital-Issued Notices of Noncoverage (HINNs) to beneficiaries prior to admission, at admission, or at any point during an inpatient stay if the hospital determines that the services the patient is receiving, or is about to receive, is not covered because it is:

         Not medically necessary;

         Not delivered in the most appropriate setting; or

         Is custodial in nature.

Hospitals should determine in what instances HINNs are appropriate (i.e., patient admission does not meet inpatient criteria and the patient will be expected to pay for the inpatient stay).  The business office and case management department can provide examples.  Once examples are compiled, education should be provided to business office and case management employees, as well as physicians and/or Hospitalists as appropriate.

More information on HINN letters can be found at: https://www.cms.gov/BNI/05_HINNs.asp

Disclaimer: All discussions and/or information exchanged, including any documents attached hereto, are provided for general information and should not be relied upon as advice, representation, or counsel. All hospitals have unique factors and circumstances, should seek legal counsel when appropriate. You should ask legal counsel to review any specific issues related to your compliance program to ensure conformity with state and local law and to address unique concerns at your facility. QHR (including its employees and agents) assumes no responsibility for consequences resulting from the use of information provided, or in any respect for the content of such information. QHR is not responsible for, and expressly disclaims all liability for, damages of any kind arising out of use, reference to, or reliance on such information. No guarantees, warranties, including (but not limited to) any express or implied warranties of merchantability or fitness for a particular use or purpose, are made by QHR with respect to such information.

 

Attachments Attachments
There are no attachments for this article.
Related Articles RSS Feed
Non-Monetary Compensation Rate for 2012
Viewed 3888 times since Fri, Dec 2, 2011
Dallas-Based Tenet Healthcare Pays More Than $42 Million to Settle Allegations Of Improperly Billing Medicare
Viewed 1036 times since Wed, Apr 11, 2012
Comparison of Average Sales Prices and Average Manufacturer Prices: An Overview of 2010
Viewed 1548 times since Mon, Nov 14, 2011
PEPPER Reports for Critical Access Hospitals
Viewed 1752 times since Fri, Dec 2, 2011
The OIG Reviews the Self Disclosure Protocol - February 6, 2012
Viewed 864 times since Sat, Feb 18, 2012
OIG Regional Inspector General Testifies Today
Viewed 623 times since Thu, Jun 7, 2012
Addressing Vulnerabilities Reported by Medicare Benefit Integrity Contractors
Viewed 816 times since Fri, Dec 16, 2011
Hospital Incident Reporting Systems Do Not Capture Most Patient Harm
Viewed 1309 times since Wed, Jan 25, 2012
Free Community Health Services
Viewed 1519 times since Thu, Feb 17, 2011
CMS Releases OPPS 2012 Proposed Rule
Viewed 954 times since Wed, Sep 14, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506