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1. If a provider’s change of classification under sub. (6) during a fiscal year results in an increased annual fee, the fund shall adjust the provider’s annual fee to equal the sum of the following:
a. One twenty-fourth of the annual fee for the provider’s former classification for each full semimonthly period from the due date of the provider’s first payment during the current fiscal year to the date of the change.
b. One twenty-fourth of the annual fee for the provider’s new classification for each full or partial semimonthly period from the date of the change to the next June 30.
2. The fund shall bill the provider for the total amount of the increase under subd. 1. if the provider has already paid the total annual fee, or shall prorate the increase over the remaining installment payments.
(e) Change of classification; decreased annual fee.
1. If a provider’s change of classification under sub. (6) during a fiscal year results in a decreased annual fee, the fund shall adjust the provider’s annual fee to equal the sum of the following:
a. One twenty-fourth of the annual fee for the provider’s former classification for each full or partial semimonthly period from the due date of the provider’s first payment during the current fiscal year to the date of the change.
b. One twenty-fourth of the annual fee for the provider’s new classification for each full semimonthly period from the date of the change to the next June 30.
2. The fund shall credit the amount of the decrease under subd. 1. over any remaining installment payments. If the provider has already paid the total annual fee, the fund shall issue a refund if the amount of the refund is more than $10. The fund shall credit any amount of $10 or less to the provider’s account. If the provider no longer participates in the fund, a credit of $10 or less shall lapse to the fund.
(f) Refund of other charges. If a provider is entitled to a refund or credit under this subsection, the fund shall also issue a refund or credit of the unearned portion of any amounts paid as surcharges using the same method used to calculate a refund or credit of an annual fee. A mediation fund fee is refundable only if the provider did not participate in the injured patients and families compensation fund for any part of the fiscal year.
(g) Refund for administrative error. In addition to any refund authorized under par. (c), (cm), (cs), (e) or (f), the fund may issue a refund to correct an administrative error in the current or any previous fiscal year.
(h) Billing; entire fiscal year. Except as provided in sub. (6e) (b), for each fiscal year, the fund shall issue to each provider participating in the fund an initial bill which shall include all of the following:
1. The total annual fee due for the fiscal year.
2. Any applicable surcharge imposed under s. Ins 17.285.
3. The balance and accrued interest, if any, due from a prior fiscal year.
4. Notice of the provider’s right to pay the amount due in full or in instalments.
5. The minimum amount due if the provider elects installment payments.
6. The payment due date.
(i) Billing; partial fiscal year. The fund shall issue each provider entering the fund after the beginning of a fiscal year an initial bill which shall include all of the following;
1. The total amount due calculated under par. (b).
2. Notice of the provider’s right to pay the amount due in full or in instalments.
3. The minimum amount due if the provider elects installment payments.
4. The payment due date.
(j) Balance billing. If a provider pays at least the minimum amount due but less than the total amount due by the due date, the fund shall calculate the remainder due by subtracting the amount paid from the amount due and shall bill the provider for the remainder on a quarterly installment basis. Each subsequent bill shall include all of the following:
1. The total of the remainder due.
2. Interest on the remainder due. The daily rate of interest shall be the average annualized rate earned by the fund on its short-term funds for the first 3 quarters of the preceding fiscal year, as determined by the state investment board, divided by 360.
3. A $3 administrative service charge.
4. The minimum amount due.
5. The payment due date.
(k) Prompt payment required. A provider shall pay at least the minimum amount due on or before each due date. If the fund receives payment later than the due date specified in the late payment notice sent to the provider by certified mail, the fund, notwithstanding par. (n) 5., may not apply the payment retroactively to the annual fee unless the board has authorized retroactive coverage under sub. (3s) (b).
(n) Application of payments. Except as provided in par. (k), all payments to the fund shall be applied in chronological order first to previous fiscal years for which a balance is due and then to the current fiscal year. The amounts for each fiscal year shall be credited in the following order:
1. Mediation fund fee imposed under s. Ins 17.01.
2. Administrative service charge under par. (j) 3.
3. Interest under par. (j) 2.
4. Surcharge imposed under s. Ins 17.285.
5. Annual fee under sub. (6).
(o) Waiver of balance. The fund may waive any balance of $50 or less, if it is in the economic interest of the fund to do so.
(5)Filing of certificates of insurance.
(a) Electronic filing. Except as provided in par. (b), each insurer and self-insured provider required under s. 655.23 (3) (b) or (c), Stats., to file a certificate of insurance shall file the certificate electronically in the format specified by the commissioner by the 15th day of the month following the month of original issuance or renewal or a change of class under sub. (6).
(b) Exemption. An insurer or self-insured provider may file a written request for an exemption from the requirement of par. (a). The commissioner may grant the exemption if he or she finds that compliance would constitute a financial or administrative hardship. An insurer or self-insured provider granted an exemption under this paragraph shall file a paper certificate in the format specified by the commissioner within 45 days after original issuance or renewal or a change of class under sub. (6).
(c) Late filing fee. A late fee in the amount of $100.00 per certificate shall be paid to the fund by each insurer and self-insured provider who fails to file a certificate of insurance in accordance with the requirements of this subsection. An additional $100.00 late fee shall be paid per certificate for each additional week, or portion thereof, the certificate is not in compliance with this subsection.
(6)Fee schedule. The following fee schedule is in effect from July 1, 2013 to June 30, 2014:
(a) Except as provided in pars. (b) to (f) and sub. (6e), for a physician for whom this state is a principal place of practice:
Class 1   $1,457   Class 3   $5,828
Class 2   $2,623   Class 4   $9,616
(b) For a resident acting within the scope of a residency or fellowship program:
Class 1   $ 729   Class 3   $2,916
Class 2   $1,312   Class 4   $4,811
(c) For a resident practicing part-time outside the scope of a residency or fellowship program:
All classes   $874
(d) For a Medical College of Wisconsin, Inc., full-time faculty member:
Class 1   $583   Class 3   $2,332
Class 2   $1,049   Class 4   $3,848
(e) For physicians who practice part-time:
1. For a physician who practices fewer than 500 hours during the fiscal year, limited to office practice and nursing home and house calls, and who does not practice obstetrics or surgery or assist in surgical procedures:   $ 364
2. For a physician who practices 1,040 hours or less during the fiscal year, including those who practice fewer than 500 hours during the fiscal year whose practice is not limited to office practice, nursing homes or house calls or who do practice obstetrics, surgery or assist in surgical procedures:
Class 1   $ 874   Class 3   $3,496
Class 2   $1,573   Class 4   $5,768
(f) For a physician for whom this state is not a principal place of practice:
Class 1   $ 729   Class 3   $2,916
Class 2   $1,312   Class 4   $4,811
(g) For a nurse anesthetist for whom this state is a principal place of practice:   $ 358
(h) For a nurse anesthetist for whom this state is not a principal place of practice:   $ 179
(i) For a hospital, all of the following fees:
1. Per occupied bed   $ 87
2. Per 100 outpatient visits during the last calendar year for which totals are available:   $ 4.35
(j) For a nursing home, as described under s. 655.002 (1) (j), Stats., that is wholly owned and operated by a hospital and that has health care liability insurance separate from that of the hospital by which it is owned and operated:
Per occupied bed     $ 17
(k) For a partnership comprised of physicians or nurse anesthetists, organized for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:
a. If the total number of partners and employed physicians and nurse anesthetists is from 2 to 10   $ 51
b. If the total number of partners and employed physicians and nurse anesthetists is from 11 to 100   $ 503
c. If the total number of partners and employed physicians and nurse anesthetists exceeds 100   $1,252
2. The following fee for each full-time equivalent allied health care professional employed by the partnership as of the most recent completed survey submitted:
Employed Health Care Professionals   Fund Fee
Nurse Practitioners   $ 364
Advanced Nurse Practitioners   510
Nurse Midwives     3,205
Advanced Nurse Midwives   3,351
Advanced Practice Nurse Prescribers   510
Chiropractors     583
Dentists     291
Oral Surgeons     2,186
Podiatrists-Surgical   6,192
Optometrists       291
Physician Assistants   291
(L) For a corporation, including a service corporation, with more than one shareholder organized under ch. 180, Stats., for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:
a. If the total number of shareholders and employed physicians and nurse anesthetists is from 2 to 10   $ 51
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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.