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 120.12(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)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)1.1. Each hospital shall review the plan for accuracy and completeness prior to submitting the plan to the department.

DHS 120.12(1)(c)2.2. The department shall notify a hospital if the plan or any elements of the plan appear to contain questionable data.

DHS 120.12(1)(c)3.3. The hospital shall either verify the accuracy of the plan or send a corrected plan to the department within 10 working days from the date the department notified the hospital of the questionable data.

DHS 120.12(1)(c)4.4.

DHS 120.12(1)(c)4.a.a. Within the same 10-working day period under subd. 3., the chief executive officer or designee of each hospital shall submit to the department a signed affirmation statement.

DHS 120.12(1)(c)4.b.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.

DHS 120.12(1)(c)4.c.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.

DHS 120.12(1)(d)(d) Data adjustment methods. There shall be no adjustment methods for uncompensated health care services report data submitted by hospitals.