HINN 10 is associated with which process?

• A. Payment processing
• B. Requesting QIO review of a discharge decision without physician concurrence
• C. Scheduling follow-up
• D. Initiating admission

Answer: (B)

When a discharge decision is made but the physician does not concur, a specific form is used to trigger an external review by a Quality Improvement Organization. HINN 10 is the mechanism for requesting this QIO review of the discharge decision. The review helps determine whether continued inpatient care is medically necessary and whether the discharge plan is appropriate, providing an independent check on the decision. The outcome can support, modify, or reverse the discharge plan based on medical necessity and patient safety.

This option stands out because it directly describes the process of initiating a QIO review of a discharge decision without physician concurrence. Other choices describe different administrative steps (like payments, scheduling follow-up, or starting admission) that are not about triggering a QIO discharge review.