Tip: Mastering HINNs
Patient Financial Services Weekly Advisor, September 10, 2004
A hospital-issued notice of noncoverage (HINN) helps hospitals correctly establish Medicare beneficiaries' liability for services Medicare doesn't cover.
There are four types of HINNs: preadmission, admission, continued stay (attending physician concurs), and continued stay (attending physician does not concur).
A HINN should be served when the hospital determines that Medicare doesn't cover the care a patient is receiving-or is about to receive-because it is one of the following:
For preadmission and admission, a hospital should never serve a HINN if a patient's symptoms warrant an observation stay for further evaluation. However, attending physicians do not need to concur for you to issue this form. Only the utilization-review committee or appropriate hospital representative must concur.
Note: A beneficiary or his/her representative may request an immediate review by a quality improvement organization within three calendar days of the HINN.
This tip was excerpted from Medicare Basics: Your Guide to Parts A, B, C, and D: An updated reference for nurses and front-end staff by Modene Mudge, copyright 2004 by HCPro, Inc. For more information, click here.
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