DHS 120.14(3)(a)12.12. The usual and customary charges for office visits, routine tests and diagnostic workups, preventive measures and frequently occurring procedures, as specified by the department. DHS 120.14(3)(b)1.1. Physicians shall return the survey to the department within 30 days of receiving it. Receipt of data is presumed within 5 days of the date the notice was mailed. DHS 120.14(3)(b)2.2. The department may grant an extension of a deadline specified in subd. 1. for submission of information only when the physician adequately justifies to the department the physician’s need for additional time. In this subdivision, “adequate justification’’ means a delay due to a labor strike, fire, natural disaster or catastrophic computer failure. A physician desiring an extension shall submit a request for an extension in writing to the department at least 10 calendar days prior to the date that the data are due. The department may grant an extension for up to 30 calendar days. Physicians who have been granted an extension by the department shall submit their data directly to the department. DHS 120.14 NoteNote: Physicians 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 120.14(3)(c)(c) Data verification, review and comment procedures. Physicians shall verify or correct information contained on their survey. The department shall verify questionable information by contacting the applicable physician. DHS 120.14(3)(d)(d) Data adjustment methods. There shall be no adjustment methods for data submitted under this subsection. DHS 120.14(3)(e)(e) Waiver from data submission requirements. There shall be no waivers from the data submission requirements under this subsection. DHS 120.14 HistoryHistory: Cr. Register, December, 2000, No. 540, eff. 1-1-01; CR 01-051: am. (1) (b) 4. a., Register September 2001 No. 549 eff. 10-1-01; CR 03-033: am. (1) (b) 1., 2., 4. b., 5. and 6. (intro.), (c) 2. (intro.), 4. b., 5. (intro.) and b., (e) 1. and 4., renum. (1) (c) 3. to be (1) (c) 4m. and am., r. (1) (c) 4. c. Register December 2003 No. 576, eff. 1-1-04. DHS 120.15DHS 120.15 Data to be submitted by other classes of health care providers. DHS 120.15(1)(1) Applicability. This section applies to all of the following classes of health care providers: DHS 120.15(2)(a)(a) In this subsection, “board” means the certifying body for a medical specialty. DHS 120.15(2)(b)(b) For each of the providers specified in sub. (1), the department shall collect all of the following types of workforce and practice information: DHS 120.15(2)(b)1.1. Name of the provider and address or addresses of main practice or employment. DHS 120.15(2)(b)3.3. License or certification status, if applicable, including date of initial licensure or certification, credential suspensions or revocations. DHS 120.15(2)(b)4.4. Specialty, board certification and recertification information, if applicable. DHS 120.15(2)(b)6.6. Whether the provider renders services to medicare and medical assistance patients and, if applicable, whether the provider has signed a medicare participation agreement indicating that she or he accepts assignment on all medicare patients. DHS 120.15(2)(b)7.7. Whether the provider participates in a voluntary partnercare program specified under s. 71.55 (10), Stats., under which assignment is accepted for low-income elderly. DHS 120.15 NoteNote: Section 71.55 (10), Stats., was repealed by 2003 Wis. Act 33. DHS 120.15(2)(b)8.8. Current names and addresses of facilities at which the provider has been granted privileges, if applicable. DHS 120.15(2)(b)9.9. The usual and customary charges for office visits, routine tests and preventive measures and frequently occurring procedures, as specified by the department. DHS 120.15(2)(b)10.10. Participation in health maintenance organizations, preferred provider organizations and independent practice arrangements.