Under HINN policies, when is a patient liable for services delivered after an HINN is submitted?

• A. Admission - liability begins the next day.
• B. Preadmission - liability begins immediately after notice.
• C. Preadmission - all services except those eligible under Part B.
• D. Admission - liability begins after the next business day.

Answer: (C)

The key idea is how a HINN sets financial responsibility before services are delivered. When a HINN is issued before admission, the patient becomes liable for all inpatient services that Medicare will not cover, effective immediately after the notice. The only exceptions are services that would be covered under Medicare Part B; those Part B-eligible services remain covered under Part B and aren’t charged to the patient as non-coverage items. This is why the correct framing is preadmission with liability for all non-Part B services. If the notice were given after admission, the liability timing would differ (for example, starting later), which is not the scenario described by this option.