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1. Each hospital shall review the data for accuracy and completeness prior to submitting data to the department.
2. The department shall check the accuracy and completeness of all submitted financial data.
3. The department shall notify a hospital if any of the data appear questionable.
4. The hospital shall either verify the accuracy of the data or submit to the department corrected data within 10 working days from the date the department notified the hospital of the questionable data.
5. After the department has made any revisions under subd. 4. in the data for a particular hospital, the department shall send to the hospital a copy of all data variables submitted by that hospital to the department or subsequently corrected by the department.
6. Within the 10 working days specified in subd. 4., the hospital shall review the data for accuracy and completeness and shall supply the department any corrections to the data.
a. Within the same 10-working day period under subd. 6., the chief executive officer or designee of each hospital shall submit to the department a signed affirmation statement.
b. Hospitals submitting affirmation statements to the department electronically shall use a digital signature approved by the department and returned by the hospital during the timeframes for data submission specified by the department. A signature on the electronic data affirmation statement represents the signatory’s acknowledgment that the data is accurate and the data submitter may no longer submit revised data.
c. If the department discovers data errors after the department’s release of the data or if a hospital representative notifies the department of data errors after the department’s release of the data, the department shall note the data errors as caveats to the completed datasets.
(e) Data adjustment methods. There shall be no adjustment methods for final audited financial statement data submitted by hospitals.
(f) Waiver from data submission requirements.
1. There shall be no waivers from the data submission requirements under this subsection.
2. Hospitals that close, merge or change their reporting fiscal year shall submit a partial final audited financial statement for the applicable partial year.
(3)Annual survey of hospitals.
(a) Definitions. In this subsection:
1. “Board” means the certifying body for a medical specialty.
2. “Health maintenance organization” has the meaning specified under s. 609.01 (2), Stats.
(b) Data to be collected. Hospitals shall submit to the department, in the format specified by the department, the following data:
1. Type of hospital ownership and tax status.
2. Type of service that best describes the services the hospital provides.
3. Types and status of accreditations, licensure and certifications.
4. Existence of contracts with prepaid health plans, including health maintenance organizations, and other alternative health care payment systems.
5. Provision of selected inpatient, ancillary and other services.
6. Location of services provided.
7. Number of patients using selected services.
8. Number of beds and inpatient utilization for the total facility, including beds set up and staffed, admissions, discharges and days of care.
9. Inpatient utilization by government payers for the total facility.
10. Number of beds and utilization by selected inpatient services.
11. Swing-bed utilization, if applicable, including average number of swing beds, discharges and days of care.
12. Use of nursing home services, if applicable, including beds set up and staffed, discharges and days of care.
13. Medical staff information, including availability of contractual arrangements with physicians in a paid capacity, total number of active or associate medical staff by selected specialty and number of board certified medical staff by selected specialty, if applicable.
14. Number of personnel on the hospital’s payroll, including hospital personnel, trainees and nursing home personnel by occupational category and by full-time or part-time status.
(c) Data submission procedures.
1. A hospital shall submit to the department the data specified in par. (b) according to a schedule specified by the department.
Note: Health care providers who are required to send their information directly to the department should use the following address: Bureau of Health Information and Policy, P. O. Box 2659, Madison, Wisconsin 53701-2659, or deliver the communications to Room 372, 1 W. Wilson Street, Madison, Wisconsin.
2. The department may change the due date specified in subd. 1. and if the department does so, the department shall notify each hospital of the change at least 30 days before the data are due.
3. The department may grant an extension of a deadline specified in this paragraph only when the hospital adequately justifies to the department the hospital’s need for additional time. In this subdivision, “adequate justification” means a delay due to a strike, fire, natural disaster or catastrophic computer failure. A hospital desiring an extension shall submit a request for an extension in writing to the department at least 10 calendar days prior to the date that the data are due. The department may grant an extension for up to 30 calendar days.
(d) Data verification, review and comment procedures.
1. Each hospital shall review the data for accuracy and completeness prior to submitting the survey to the department.
2. The department shall check the accuracy and completeness of all submitted information.
3. If the department has contacted the hospital and has determined that resubmission of the survey is necessary, the department shall return questionable survey response data to the hospital that submitted the survey with information for revision and resubmission.
4. The hospital shall resubmit the survey returned by the department to the hospital within 10 working days after the hospital’s receipt of the questionable survey.
5. After the department has made any revisions under subd. 3. in the information for a particular hospital, the department shall send the hospital a copy of all variables submitted by that hospital to the department or subsequently corrected by the department.
6. The hospital shall review the survey for accuracy and completeness and shall supply the department within the 10 working days specified in subd. 4. after receipt of the questionable survey with any corrections.
a. Within the 10-working day period under subd. 4., the chief executive officer or designee of each hospital shall submit to the department a signed affirmation statement.
b. Hospitals submitting affirmation statements to the department electronically shall use a digital signature approved by the department and returned by the hospital during the timeframes for data submission specified by the department. A signature on the electronic data affirmation statement represents the signatory’s acknowledgment that the data is accurate and the data submitter may no longer submit revised data.
c. If the department discovers survey errors after the department’s release of the data or if a hospital representative notifies the department of survey errors after the department’s release of the data, the department shall note the data errors as caveats to the completed datasets.
(e) Data adjustment methods. There shall be no adjustment methods for annual hospital survey data submitted by hospitals.
(f) Waiver from data submission requirements.
1. There shall be no waivers from the data submission requirements under this subsection.
2. Hospitals that close, merge or change their reporting fiscal year shall submit an annual survey [for] the applicable partial year.
Note: A missing word is shown in brackets.
(4)Published notices of hospital rate increases or charges in excess of rates.
(a) Data to be collected. Under s. DHS 120.09 (4), hospitals shall submit all newspaper notices and affidavits of publication to the department.
(b) Data submission procedures. Under s. DHS 120.09 (4), hospitals shall submit a newspaper notice and affidavit of publication to the department within 14 calendar days after the hospital receives the affidavit of publication.
Note: Health care providers who are required to send their information directly to the department should use the following address: Bureau of Health Information and Policy, P. O. Box 2659, Madison, Wisconsin 53701-2659, or deliver the communications to Room 372, 1 W. Wilson Street, Madison, Wisconsin.
(c) Data verification, review and comment procedures. There shall be no verification, review and comment procedures for published notices submitted by hospitals.
(d) Data adjustment methods. There shall be no adjustment methods for published notices submitted by hospitals.
(e) Waiver from data submission requirements. There shall be no waivers from the data submission requirements under this subsection.
(5)Uniform inpatient discharge data.
(a) Data to be collected. Hospitals shall submit to the department all of the following data for each patient:
1. Federal tax identification number of the hospital.
2. Patient control number.
3. Patient medical record or chart number.
4. Discharge date.
5. Patient zip code.
6. Patient birth date.
7. Patient gender.
8. Admission date.
9. Type of admission.
10. Source of admission.
11. Patient discharge status.
12. Condition codes.
13. Adjusted total charges and components of those charges.
14. Leave days.
15. Primary payer identifier and type.
16. Secondary payer identifier and type.
17. Principal and other diagnosis codes.
18. External cause of injury codes.
19. Principal and other procedure codes.
20. Date of principal procedure.
21. Attending physician license number.
22. Other physician license number, if applicable.
23. Patient race.
24. Patient ethnicity.
25. Type of bill identifying the location of service.
26. Encrypted case identifier.
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Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.