Case Management

HINNs help with difficult cases

Case Management Monthly, November 1, 2009

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As time-consuming as delivering an HINN can be, a successful HINN process allows the patient to be involved in his or her medical decisions.

The following are some ways an HINN process benefits patients and your facility:
• It validates patients by including them in the process. It informs patients of their appeal rights if they do not agree with the medical decision presented. The process assigns ownership to patients, keeping them more invested and motivated in the eventual outcome.
• It communicates to patients and families that hospitals don’t make the Medicare rules, they simply administer and abide by them.
• It disarms patients, who may otherwise attempt to delay discharge inappropriately, and diffuses a potentially acrimonious encounter.
• It transfers ownership, responsibility, and liability for care to patients. In most cases, this also promotes patient participation in the Medicaid application process.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Case Management Monthly.

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