DHS 120.12(3)(e)(e) Data adjustment methods. There shall be no adjustment methods for annual hospital survey data submitted by hospitals.
DHS 120.12(3)(f)(f) Waiver from data submission requirements.
DHS 120.12(3)(f)1.1. There shall be no waivers from the data submission requirements under this subsection.
DHS 120.12(3)(f)2.2. Hospitals that close, merge or change their reporting fiscal year shall submit an annual survey [for] the applicable partial year.
DHS 120.12 NoteNote: A missing word is shown in brackets.
DHS 120.12(4)(4)Published notices of hospital rate increases or charges in excess of rates.
DHS 120.12(4)(a)(a) Data to be collected. Under s. DHS 120.09 (4), hospitals shall submit all newspaper notices and affidavits of publication to the department.
DHS 120.12(4)(b)(b) Data submission procedures. Under s. DHS 120.09 (4), hospitals shall submit a newspaper notice and affidavit of publication to the department within 14 calendar days after the hospital receives the affidavit of publication.
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(4)(c)(c) Data verification, review and comment procedures. There shall be no verification, review and comment procedures for published notices submitted by hospitals.
DHS 120.12(4)(d)(d) Data adjustment methods. There shall be no adjustment methods for published notices submitted by hospitals.
DHS 120.12(4)(e)(e) Waiver from data submission requirements. There shall be no waivers from the data submission requirements under this subsection.
DHS 120.12(5)(5)Uniform inpatient discharge data.
DHS 120.12(5)(a)(a) Data to be collected. Hospitals shall submit to the department all of the following data for each patient:
DHS 120.12(5)(a)1.1. Federal tax identification number of the hospital.
DHS 120.12(5)(a)2.2. Patient control number.
DHS 120.12(5)(a)3.3. Patient medical record or chart number.
DHS 120.12(5)(a)4.4. Discharge date.
DHS 120.12(5)(a)5.5. Patient zip code.
DHS 120.12(5)(a)6.6. Patient birth date.
DHS 120.12(5)(a)7.7. Patient gender.
DHS 120.12(5)(a)8.8. Admission date.
DHS 120.12(5)(a)9.9. Type of admission.
DHS 120.12(5)(a)10.10. Source of admission.
DHS 120.12(5)(a)11.11. Patient discharge status.
DHS 120.12(5)(a)12.12. Condition codes.
DHS 120.12(5)(a)13.13. Adjusted total charges and components of those charges.
DHS 120.12(5)(a)14.14. Leave days.
DHS 120.12(5)(a)15.15. Primary payer identifier and type.