Neonatal intensive care unit
Other
INTENSIVE CARE
General classification
Surgical
Medical
Pediatric
Psychiatric
Post-intensive care unit
Burn care
Trauma
Other
CORONARY CARE
General classification
Myocardial infarction
INCREMENTAL NURSING CHARGE RATE
General classification
Nursery
Intensive care
Coronary care
OTHER IMAGING SERVICES
Mammography, excluding physician fees
EMERGENCY ROOM
General classification – based on highest volume, excluding physician fees
LABOR ROOM/DELIVERY
General classification
Labor
Delivery
Circumcision
Birthing center
Other
PSYCHIATRIC/PSYCHOLOGICAL TREATMENTS
General classification
Electroshock treatment
Milieu therapy
Play therapy
Other
PSYCHIATRIC/PSYCHOLOGICAL SERVICES
General classification
Rehabilitation
Day care
Night care
Individual therapy
Group therapy
Family therapy
Biofeedback
Testing
Other
DHS 120.09(4)
(4) Affidavit of publication. A hospital that publishes any notice under
sub. (3) shall require the newspaper in which the notice is published to furnish the hospital with an affidavit of publication attached to a copy of the notice clipped from the paper. The affidavit shall state the name of the newspaper and the date of publication and shall be signed by the editor, publisher, owner or designee of the editor, publisher or owner. Within 14 calendar days after the hospital receives the affidavit of publication, the hospital shall transmit to the department the affidavit and the notice clipped from the newspaper attached.
DHS 120.09 Note
Note: 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 120.09 History
History: Cr.
Register, December, 2000, No. 540, eff. 1-1-01;
CR 01-051: cr. (3) (a) 6m.,
Register September 2001 No. 549 eff. 10-1-01.
DHS 120.10(1)
(1)
Definition. In this section, “type of data" means inpatient, emergency department, ambulatory, fiscal, annual and other health care provider data required to be submitted to the department under this chapter.
DHS 120.10(2)
(2) Civil liability. In accordance with s.
153.76, Stats., and except as provided in
sub. (3), whoever violates the patient confidentiality provisions defined in ss.
153.50 and
153.75 (1) (a), Stats., shall be liable to the patient for actual damages and costs, plus exemplary damages of up to $1,000 for a negligent violation and up to $5,000 for an intentional violation.
DHS 120.10(3)(a)(a) In accordance with s.
153.77, Stats., and except as provided in
par. (b), a health care provider that submits information to the department under this chapter is immune from civil liability for all of the following:
DHS 120.10(3)(a)1.
1. Any act or omission of an employee, official or agent of the health care provider that results in the release of a prohibited data element while submitting data to the department.
DHS 120.10(3)(a)2.
2. Any act or omission of the department that results in the release of data.
DHS 120.10(3)(b)
(b) The immunity provided under this subsection does not apply to intentional, willful or reckless acts or omissions by health care providers.
DHS 120.10(4)
(4) Criminal penalties. In accordance with s.
153.78 (1), Stats., whoever intentionally violates s.
153.45 (5) or
153.50, Stats., or rules related thereto under subchs.
III and
V of this chapter may be fined not more than $15,000 or imprisoned for not more than one year in the county jail or both.
DHS 120.10(5)(a)(a)
General. In accordance with s.
153.78 (2), Stats., whoever violates
ch. 153, Stats., or this chapter, except as provided in
par. (c), shall forfeit not more than $100 for each violation. Except as stated in s.
153.78 (2), Stats., each day of a violation for each individual type of data the department requires to be submitted constitutes a separate offense.
DHS 120.10(5)(b)1.1. `Forfeiture commencement and duration.' The forfeiture begins on the date the health care provider was in violation, as determined by the department, and is computed for the number of days the health care provider is in violation until the date the health care provider achieves compliance, except that no day in the period between the date on which a request for a hearing is filed under s.
227.44, Stats., and the date of the conclusion of all administrative and judicial proceedings arising out of a decision under this subsection constitutes a violation.
DHS 120.10(5)(b)2.
2. `Collection of forfeiture.' The department may directly assess forfeitures. If the department determines that a forfeiture should be assessed for a particular violation or for failure to correct the violation, the department shall send a notice of assessment to the alleged violator containing all of the following information:
DHS 120.10(5)(b)2.d.
d. The total amount due or, if the violation is continuing at the time the notice is sent, a statement specifying how the alleged violator shall calculate the total amount due.
DHS 120.10(5)(b)3.
3. `Due date for payment of forfeitures.' All forfeitures shall be paid to the department within 10 calendar days of receipt of notice of assessment or, if the forfeiture is contested under
par. (c), within 10 calendar days of receipt of the final decision under administrative review, unless the final administrative decision is appealed and the order stayed by court order under s.
227.52, Stats. Receipt of notice is presumed within 5 days of the date the notice was mailed. The department shall remit all forfeitures paid to the state treasurer for deposit in the school fund.
DHS 120.10(5)(c)
(c)
Appeals of forfeitures. A health care provider may contest the department's assessment of a forfeiture by filing, within 10 calendar days after receipt of the department's notification of forfeiture assessment, a written request for hearing under s.
227.44, Stats., with the department of administration's division of hearings and appeals created under s.
15.103 (1), Stats. A request is considered filed when the request is received by the division of hearings and appeals. The division of hearings and appeals shall hold the hearing and issue a decision, in proposed form, no later than 30 calendar days after receiving the request for hearing, unless both parties agree to a later date, and shall provide at least 10 calendar days prior notification of the date, time and place for the hearing. Both parties may file comments on the proposed decision with the division of hearings and appeals within 30 calendar days from the date of issuance of the proposed decision. At the close of the comment period, the division shall forward the proposed decision and comments to the secretary of the department for issuance of a final decision, and the secretary of the department shall issue the final decision within 30 calendar days thereafter.
DHS 120.10 Note
Note: A hearing request should be addressed to the Division of Hearings and Appeals, P.O. Box 7875, Madison, WI 53707, 608-266-3096. Hearing requests may be delivered in person to that office at 5005 University Ave., Room 201, Madison, WI.
DHS 120.10(5)(d)
(d)
Forfeitures for nonpayment of assessments. A hospital or freestanding ambulatory surgery center that does not comply with
s. DHS 120.04 (4) (b) or health plan that does not comply with
s. DHS 120.04 (4) (d) is subject to a forfeiture of $25 for each day after December 31 that the assessment is not paid, subject to a maximum forfeiture equal to the amount of the assessment due or $500, whichever is greater. A forfeiture under this subdivision does not relieve the hospital, association or health care plan from the responsibility of paying the corresponding assessment.
DHS 120.10 History
History: Cr.
Register, December, 2000, No. 540, eff. 1-1-01;
CR 01-051: am. (1),
Register, September 2001 No. 549 eff. 10-1-01; corrections in (2), (3) (a) (intro.), (4), (5) (a) made under s.
13.92 (4) (b) 7., Stats.,
Register January 2011 No. 661.
DHS 120.11
DHS 120.11 Common data verification, review and comment procedures. DHS 120.11(2)
(2) Definition. In this section, “facility" means hospitals and freestanding ambulatory surgery centers.
DHS 120.11(3)
(3) Facility data verification, review and comment procedures. DHS 120.11(3)(a)(a) Each facility shall review its collected data for accuracy and completeness before submitting the data to the department.
DHS 120.11(3)(b)
(b) The department shall check the accuracy and completeness of all submitted data and record all questionable data based on standard edits or the electronic editing features of the department's data submission system.
DHS 120.11(3)(c)
(c) If the department determines data submitted by the facility to be questionable, and the department has determined that the data cannot be verified or corrected by telephone or electronic means, the department may return the questionable data to the facility or the facility's qualified vendor with information for revision and resubmission.
DHS 120.11(3)(d)1.c.
c. Supply the department with the affirmation statement that was included with the data profile. The affirmation statement shall be signed by the chief executive officer or designee indicating that the facility's data are accurate and complete. Facilities submitting affirmation statements to the department electronically shall use the digital signature approved by the department and returned by the facility during the timeframes for data submission specified by the department. A signature on the electronic data affirmation statement represents the signatory's acknowledgement that the data is accurate to the best of his or her knowledge and that the data submitter may no longer submit revised data.
