What is a HINN?
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 care the beneficiary 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.
The patient may disagree with the finding and they have options:
Talk to your doctor about this notice and any further healthcare you may need
You also have the right to an appeal; that is an immediate review of your case by the Quality Improvement Organization (QIO). The QIO is an outside reviewer hired by Medicare to make a formal decision about whether your admission is covered by medicare.
QIO Contact Information:
LIVANTA BFCC-QIO: 1 866-815-5440 TTY 1 866 868-2289