HI 00601.075 Late Discharge
When a patient chooses to continue to occupy his hospital accommodations beyond the check-out time for personal reasons, the hospital may charge the beneficiary for his continued stay. Such a stay beyond the checkout time, for the comfort or convenience of the patient, is not covered under the program and the hospital's agreement to participate in the program does not preclude it from charging the patient. However, it is expected that hospitals will not impose late charges on a beneficiary unless he has been given reasonable notice (for example, 24 hours) of his impending discharge.
Where the patient's medical condition is the cause of the stay past the check-out time (e.g., the patient needs further services, is bedridden and awaiting transportation to his home or to an SNF, or dies in the hospital), the stay beyond the discharge hour is covered under the program and the hospital may not charge the patient.