DHS 120.23(4)(b)1.i.
i. Usual and customary charges for office visits, routine tests and diagnostic work-ups, preventive measures and frequently occurring procedures.
DHS 120.23(4)(b)1.k.
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.
DHS 120.23(4)(b)2.
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.
DHS 120.23(4)(c)1.1. 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:
DHS 120.23(4)(c)1.m.
m. If applicable, performance measures such as complication rates, volume of procedures, patient satisfaction and last report of facility surveys of care delivered.
DHS 120.23(4)(c)2.
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.
DHS 120.23 History
History: Cr.
Register, December, 2000, No. 540, eff. 1-1-01.
DHS 120.24
DHS 120.24 Hospital rate increase report. DHS 120.24(1)
(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.
DHS 120.24(2)(a)(a) The hospital rate increase report shall contain all of the following information:
DHS 120.24(3)
(3) Report dissemination. The department shall make the report available from the department's website at no charge.
DHS 120.24(4)
(4) Suggested use of report. Some suggestions for using the report are as follows:
DHS 120.24(4)(b)
(b) To compare rates across hospitals within and across state regions or statewide.
DHS 120.24 History
History: Cr.
Register, December, 2000, No. 540, eff. 1-1-01.
DHS 120.25
DHS 120.25 Uncompensated health care services report. DHS 120.25(1)(1)
Data sources. The uncompensated health care services report shall be based on data derived from all of the following sources:
DHS 120.25(1)(a)
(a) Annual hospital plans for the provision of uncompensated health care submitted to the department by hospitals.
DHS 120.25(2)
(2) Contents. The uncompensated health care services report shall contain all of the following information:
DHS 120.25(2)(a)
(a) For each hospital, the report shall list all of the following:
DHS 120.25(2)(a)3.
3. The dollar amount of charity care provided for the most recent fiscal year.
DHS 120.25(2)(a)4.
4. The proportion of total annual gross patient revenue that constitutes the charity care.
DHS 120.25(2)(a)6.
6. The proportion of total annual gross patient revenue that constitutes the bad debt.
DHS 120.25(2)(a)8.
8. The proportion of total annual gross patient revenue that constitutes both charity care and bad debt.
DHS 120.25(2)(a)9.
9. The proportion of total nongovernmental patient revenue that constitutes the charity care.
DHS 120.25(2)(a)10.
10. The proportion of total nongovernmental patient revenue that constitutes the bad debt.
DHS 120.25(2)(a)11.
11. The proportion of total annual nongovernmental patient revenue that constitutes both charity care and bad debt.
DHS 120.25(2)(a)12.
12. The number of patients that received charity care during the most recent fiscal year.
DHS 120.25(2)(a)13.
13. The number of patients projected to receive charity care during the subsequent fiscal year.
DHS 120.25(2)(a)14.
14. The number of bad debt patient accounts during the most recent fiscal year.
DHS 120.25(2)(a)15.
15. The number of bad debt patient accounts projected for the subsequent fiscal year.
DHS 120.25(2)(a)16.
16. The total number of charity care and bad debt cases during the most recent fiscal year.
DHS 120.25(2)(a)17.
17. The total number of charity care and bad debt cases projected for the subsequent fiscal year.
DHS 120.25(2)(a)18.
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.
DHS 120.25(2)(b)
(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:
DHS 120.25(2)(b)3.
3. The proportion of total gross revenue that the general relief revenue represents.
DHS 120.25(2)(b)4.
4. The proportion of charges for general relief cases that were reimbursed by counties.
DHS 120.25(2)(c)
(c) A copy of the department's hospital uncompensated health care plan survey.
DHS 120.25(2)(f)2.
2. Problems associated with measuring hospitals' charitable contributions to their communities.
DHS 120.25(2)(f)3.
3. Summary statistics pertaining to uncompensated health care services.
DHS 120.25(2)(f)6.
6. A list of hospitals with obligations to provide reasonable amounts of charity care.
DHS 120.25(3)
(3) Report dissemination. The department shall distribute a paper copy of the report at no charge to the governor, the legislature and a board-approved list of individuals and agencies. The department shall make the paper version of the report available for purchase by others. The department shall make available from the department's website an electronic version of the report at no charge.
DHS 120.25(4)
(4) Suggested uses of report. Some suggestions for using the report are as follows:
DHS 120.25(4)(a)
(a) By legislators and policymakers to determine the level of uncompensated health care provided in various areas of the state and, in turn, whether the burden of uncompensated health care is fairly shared by all hospitals.
DHS 120.25(4)(b)
(b) In conjunction with other available information, by insurance companies and other third-party payers and by business or consumer groups to determine the extent to which uncompensated health care affects hospitals' charges and hospitals' ability to provide services to a community.
DHS 120.25(4)(c)
(c) As a resource document for persons wishing to conduct research or seek information on uncompensated health care.
DHS 120.25 History
History: Cr.
Register, December, 2000, No. 540, eff. 1-1-01.
