DHS 120.11(4)(b)(b) The department shall notify each physician with a Wisconsin license number appearing in the facility-submitted data of the physician’s opportunity to review that data.
DHS 120.11(4)(c)(c) The department shall notify each identified physician using the physician’s last known address on file with the department of safety and professional services or information provided by the facility that may be more current.
DHS 120.11(4)(d)(d) The notice shall include all of the following:
DHS 120.11(4)(d)1.1. A message marked “urgent: dated material.”
DHS 120.11(4)(d)2.2. An indication that the physician has 10 working days from the date the notice was sent to notify the department that the physician intends to review the requested data before the data is released.
DHS 120.11(4)(d)3.3. A statement informing the physician that the department will not provide further notice of the physician’s right to review if the physician chooses not to review the data at that time.
DHS 120.11(4)(d)4.4. Instructions on how the physician may obtain the data.
DHS 120.11(4)(e)(e)
DHS 120.11(4)(e)1.1. If a physician files a timely request to review data before release, the department shall make the data available to the physician as it is submitted to the department. The department’s report shall contain a “permission to change” authorization form that may be duplicated in the event of multiple problems.
DHS 120.11(4)(e)2.2. If the physician wants to dispute the data, the physician shall attest to the problem associated with the data on the authorization form, and an authorized representative of the facility shall indicate on the form if the facility agrees to the change.
DHS 120.11(4)(e)3.3. The physician shall return the form to the department within 20 working days after the date on which the data were made available to the physician.
DHS 120.11(4)(e)4.4. When the department receives the signed “permission to change” form, the department shall change the data within the facility dataset before its release.
DHS 120.11(4)(e)5.5. If the facility does not agree to the physician’s change, the physician may submit his or her written comments on the data to the department within the same 20 working days after the date of the department transmittal. The facility shall also submit its reason for concluding that the submitted data are correct within the same 20 working days. The department may not change the data submitted by the facility, but shall include both sets of comments with the data released to data requesters.
DHS 120.11(4)(e)6.6. A physician desiring to comment on data he or she submits shall submit his or her comments in a standard electronic word processing format. Comments shall be limited to a maximum of 1000 words. All comments shall be submitted no later than the 20th working day following the department’s transmittal.
DHS 120.11(4)(f)(f) If the department receives comments from a physician after the release of data, the department shall retain the comments and provide them as part of the documentation released to future data requesters. The department shall note as caveats to the completed data the subsequent discovery of data errors by either the department or the data submitter after the release of data.
DHS 120.11 HistoryHistory: Cr. Register, December, 2000, No. 540, eff. 1-1-01; CR 01-051: am. (1) and (3) (d) 1., Register September 2001 No. 549 eff. 10-1-01; CR 03-033: am. (3) (c), (d) 1. (intro.), (4) (e) 1. and 2., r. (3) (f) Register December 2003 No. 576, eff. 1-1-04; correction in (4) (c) made under s. 13.92 (4) (b) 6., Stats., Register February 2012 No. 674.
DHS 120.12DHS 120.12Data to be submitted by hospitals.
DHS 120.12(1)(1)Uncompensated health care plan.
DHS 120.12(1)(a)(a) Data to be collected. Hospitals shall provide all of the following data:
DHS 120.12(1)(a)1.1. A set of definitions describing terms used by the hospital throughout the uncompensated health care plan.
DHS 120.12(1)(a)2.2. The procedures the hospital uses to determine a patient’s ability to pay for health care services received and to verify financial information from the patient.
DHS 120.12(1)(a)3.3. The hospital’s means of informing the public about charity care available at that hospital and a description of the procedure for obtaining the care.
DHS 120.12(1)(a)4.4. The amount of any state loan funds, excluding fund proceeds from the Wisconsin health and educational facilities authority, outstanding with a continuing obligation during the previous year.
DHS 120.12(1)(b)(b) Data submission procedures.
DHS 120.12(1)(b)1.1. Every hospital shall annually file with the department within 120 calendar days following the close of the hospital’s fiscal year the plan required under par. (a).
DHS 120.12 NoteNote: 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.
DHS 120.12(1)(b)2.2. The department may grant an extension of a deadline specified under subd. 1. 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 delay due to 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 before the date the data are due. The department may grant an extension for up to 30 calendar days.
DHS 120.12(1)(c)(c) Data verification, review and comment procedures.
DHS 120.12(1)(c)1.1. Each hospital shall review the plan for accuracy and completeness prior to submitting the plan to the department.