Source: http://www.healthinfolaw.org/state-topics/50,66/f_topics
Timestamp: 2018-01-20 17:01:42
Document Index: 359284671

Matched Legal Cases: ['§ 153', '§120', '§120', '§ 153', '§ 146', '§124', '§61']

Resource Use (Cost/Utilization) Measurement and Reporting in Wisconsin | Health Information & the Law
Resource Use (Cost/Utilization) Measurement and Reporting in Wisconsin
The state of Wisconsin does not have a large number of regulations that outlines provider utilization and financial reporting. However, based on the research that was conducted, hospitals and ambulatory surgery centers are required to provide a report annually on utilization, charge, and quality data on patients treated in their respective facilities.1
1. W.S.A. 153.22
Required utilization/cost reporting Collection and dissemination of health care and related information – Wis. Stat. Ann. § 153.05 Collection and Dissemination of health care and related information The purpose of this section is to give providers, consumers, insurers, and...
Provider cost reporting Data to be submitted by physician class of provider – Wis. Admin. Code DHS §120-14 Data to be submitted by physicians to DHS The Department of Health Services requires physicians to submit certain kinds of data to them on a regular...
General Provisions – Wis. Admin. Code DHS §120-20 General provisions for standard reports by DHS This regulation requires that the department of health services prepare a certain list of standard...
Hospital rate increases or charges in excess of rates – Wis. Stat. Ann. § 153.08 No hospital may increase its rates or charge payers more than the rates in effect unless the hospital publishes a notice outlining the rate increase...
Access to health care cost information Disclosures required of health care providers and hospitals – Wis. Stat. Ann. § 146.903 The Wisconsin Department of Health Services must identify ways for providers to calculate median billed charges. In conducting its duties, the...
Resource Use (Cost/Utilization) Measurement and Reporting Wis. Admin. Code DHS §124-11 - Utilization Review This law requires that every hospital have a written utilization review plan to maximize patient care quality care while minimizing over or under-...
Wis. Admin. Code DHS §61-07 - Uniform Cost Reporting - Community Mental Health and Developmental Disabilities Services This law requires that community programs receiving state funds for providing community mental health and developmental disabilities services utilize...