HINN 10 is issued under which circumstance?

• A. After discharge occurs
• B. When the patient requests discharge review
• C. When the hospital requests QIO review of a discharge decision without physician concurrence
• D. When non-covered items are provided during a covered stay

Answer: (C)

The form is used to trigger an independent review by the Quality Improvement Organization when a hospital and the treating physician do not agree on discharging a patient. HINN 10 signals that the hospital is requesting QIO review of the discharge decision without physician concurrence. This isn’t about requests after discharge, patient-initiated reviews, or billing for non-covered items; those scenarios involve different processes or issues.