Chief Compliance and Ethics Officer Health Care

  • 1.  Hospital-Issued Notices of Noncoverage

    Posted 5 days ago
    Hello and Happy Thanksgiving,

    How do you handle 'social admissions' from a Compliance perspective? Having a tough time with this as we will have social admissions without ANY medical need - do you issue HINNs? Does the Compliance Officer intervene? Is it handled by UR?

    Any information is appreciated,
    Thanks,
    Rachel

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    Rachel Anderson, MSN, RN, CHC
    Chief Compliance Officer
    Boone County Hospital
    Boone, Iowa
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  • 2.  RE: Hospital-Issued Notices of Noncoverage

    Posted 5 days ago

    Rachel,

    To my knowledge our hospitals don't do that.  Admissions must be medically necessary.  If you're doing social admissions, I think the patient should be aware and sign an HINN.  This would normally be handled by Case Management / Utilization Review staff.

    Cinda

     

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