When must the HINN be given?

• A. After discharge only
• B. Prior to admission, or any point during an inpatient stay if it is determined that the items or services are not covered because it is not medically necessary
• C. Only if the patient requests it
• D. At the end of the month

Answer: (B)

The timing rule for the HINN centers on informing the patient as early as possible when inpatient items or services won’t be covered because they’re not medically necessary. Hospitals must give the HINN before admission if possible. If that isn’t feasible, they must issue it as soon as the determination is made during the inpatient stay that the items or services aren’t covered for lack of medical necessity. This ensures the patient understands potential financial responsibility and can pursue any appeals or alternatives. It isn’t something you wait to give only after discharge, nor something only provided if the patient requests it, and it isn’t tied to a monthly timing like the end of the month.