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a. Active status information.
b. License or certification status, if applicable, including date of initial licensure or certification, credential suspensions or revocations.
c. Medical education and training information.
d. Specialty, board certification and recertification information.
e. Practice information including name of practice, location, telephone number and hours spent at location.
f. Whether the provider renders services to patients insured through medicare or medical assistance.
g. Whether the provider accepts medicare assignment.
h. The names and addresses of facilities at which the provider has been granted privileges, if applicable.
i. Usual and customary charges for office visits, routine tests and diagnostic work-ups, preventive measures and frequently occurring procedures.
j. Health plan affiliations, if applicable.
k. Volume of surgical procedures for those specific procedures where the department has determined, based on existing scientific evidence, that surgical outcomes are related to volume of procedures performed, if applicable.
L. Types of conditions treated.
2. The department shall provide consumers with information regarding how to assess the information specified in subd. 1. and what additional questions consumers may want to ask the health care provider.
(c) Health care facility.
1. If available to the department, the following information about a health care facility shall be contained in the consumer guide and may supplement other factors such as the consumer’s age, health status, mobility and financial resources as important factors in selecting a hospital, nursing home, hospice or other health care facility:
a. Facility type.
b. Location.
c. Ownership.
d. Medicare and medical assistance participation.
e. Number and type of medical professionals on staff.
f. Number of staffed beds.
g. Services provided.
h. Accreditation status.
i. Date of last inspection by the department.
j. Degree of compliance with medicare and medical assistance regulations.
k. Evaluation by consumers.
L. Membership in professional organizations.
m. If applicable, performance measures such as complication rates, volume of procedures, patient satisfaction and last report of facility surveys of care delivered.
n. Years of operation.
o. Costs.
p. Satisfaction of clients.
q. Measures of financial strength.
r. Affiliations with specific physicians, clinics or hospitals.
2. The department shall provide consumers with information regarding how to assess the information specified in subd. 1. and what additional questions consumers may want to ask the health care facility.
History: Cr. Register, December, 2000, No. 540, eff. 1-1-01.
DHS 120.24 Hospital rate increase report.
(1) Data sources. The hospital rate increase report shall be based on notarized copies of notices placed in newspapers and submitted to the department by hospitals.
(2) Contents.
(a) The hospital rate increase report shall contain all of the following information:
1. For each hospital that publishes a notice as specified under s. DHS 120.09 (2), the report shall list all of the following:
a. The name of the hospital and the city in which the hospital is located.
b. The date the increase will be effective.
c. The resulting annualized percentage increase.
d. The geographic area of analysis in which the hospital is located.
2. A list of hospitals that have closed since 1993.
(3) Report dissemination. The department shall make the report available from the department’s website at no charge.
(4) Suggested use of report. Some suggestions for using the report are as follows:
(a) To understand changes in hospital rates.
(b) To compare rates across hospitals within and across state regions or statewide.
(c) To project expected costs of hospitalizations.
History: Cr. Register, December, 2000, No. 540, eff. 1-1-01.
DHS 120.25 Uncompensated health care services report.
(1) Data sources. The uncompensated health care services report shall be based on data derived from all of the following sources:
(a) Annual hospital plans for the provision of uncompensated health care submitted to the department by hospitals.
(b) Fiscal surveys of hospitals conducted by the department.
(2) Contents. The uncompensated health care services report shall contain all of the following information:
(a) For each hospital, the report shall list all of the following:
1. The city in which the hospital is located.
2. The type of the hospital.
3. The dollar amount of charity care provided for the most recent fiscal year.
4. The proportion of total annual gross patient revenue that constitutes the charity care.
5. The annual amount of bad debt.
6. The proportion of total annual gross patient revenue that constitutes the bad debt.
7. The total annual dollar amount of charity care and bad debt.
8. The proportion of total annual gross patient revenue that constitutes both charity care and bad debt.
9. The proportion of total nongovernmental patient revenue that constitutes the charity care.
10. The proportion of total nongovernmental patient revenue that constitutes the bad debt.
11. The proportion of total annual nongovernmental patient revenue that constitutes both charity care and bad debt.
12. The number of patients that received charity care during the most recent fiscal year.
13. The number of patients projected to receive charity care during the subsequent fiscal year.
14. The number of bad debt patient accounts during the most recent fiscal year.
15. The number of bad debt patient accounts projected for the subsequent fiscal year.
16. The total number of charity care and bad debt cases during the most recent fiscal year.
17. The total number of charity care and bad debt cases projected for the subsequent fiscal year.
18. Whether and to what extent the hospital has outstanding obligations on state loan funds, excluding fund proceeds from the Wisconsin health and educational facilities authority, during the most recent fiscal year.
(b) For each hospital with county general relief revenues greater than $500,000 or 1% of total gross patient revenue for the most recent fiscal year, the report shall list all of the following:
1. The county in which the hospital is located.
2. The amount of general relief revenues the hospital received.
3. The proportion of total gross revenue that the general relief revenue represents.
4. The proportion of charges for general relief cases that were reimbursed by counties.
(c) A copy of the department’s hospital uncompensated health care plan survey.
(d) A copy of the department’s hospital fiscal survey.
(e) A glossary of terms used in the report.
(f) Brief discussions of all of the following:
1. The definition of uncompensated health care services.
2. Problems associated with measuring hospitals’ charitable contributions to their communities.
3. Summary statistics pertaining to uncompensated health care services.
4. How hospitals project uncompensated health care.
5. How hospitals verify the need for charity care.
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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.