US · guidance
CMS Pub. 100-04, ch. 1, § 150.2.1
Scope of Issuance of Hospital Issued Notices of Noncoverage
(HINNs)
(Rev. 632, Issued: 07-29-05, Effective: 01-03-06, Implementation: 01-03-06)
HO-414.3, .4
Inpatient hospitals are required to issue HINNs to beneficiaries in a variety of
circumstances defined in Chapter 30 of this manual. Hospitals should refer to section 80
of that chapter for further instructions on HINNs.
NOTE: Hospitals submit bills for all inpatient stays, including those for which no
payment can be made. Although no monies are involved with no-payment bills, a claim
is required because hospitalization could extend a Medicare beneficiary's benefit period,
or coinsurance or deductible may be due. The hospital is not required to issue a HINN
when it does not plan to bill the beneficiary (or their representative) for item(s) or
service(s). However, applicable coinsurance and deductibles are always charged to the
beneficiary when care is provided no matter what party is liable for payment, and no
liability notification is required for these collections.
History
(Rev. 632, Issued: 07-29-05, Effective: 01-03-06, Implementation: 01-03-06)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
f1f734c3c5f3c18d167647973cd99f8d743a730f61942193190105c5e11280d4
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