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Wisconsin Administrative Code (Last Updated: January 10, 2017) |
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Agency Ins. Office of the Commissioner of Insurance |
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Chapter ERules. Emergency Rules |
EmR1306. Relating to: Injured Patients and Families Compensation Fund Annual Fund and Mediation Panel Fees, and ISO code amendments for the fiscal year beginning July 1, 2013
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Comments for this rule have closed
EmR1306
Filed with LRB: June 10, 2013
Publication Date: June 12, 2013
Effective Dates: June 12, 2013 through November 8, 2013
Hearing Date: July 23, 2013
EMERGENCY ORDER AMENDING, REPEALING AND CREATING A RULE.
Office of the Commissioner of Insurance
Rule No . 042-13 : To amend s. Ins 17.01 (3), and 17.28 (3) (c) and to repeal and recreate s. Ins 17.28 (6), Wis. Admin. Code.
Relating to : Injured Patients and Families Compensation Fund Annual Fund and Mediation Panel Fees, and ISO code amendments for the fiscal year beginning July 1, 2013, and affecting small business.
The statement of scope for this rule SS 042-13, was approved by the Governor on April 16, 2013, published in Register No. 688, on April 30, 2013, and approved by the Commissioner on May 10, 2013.
This emergency rule was approved by the Governor on June 4, 2013.
_____________________________________________________________________________
FINDING OF EMERGENCY
The Commissioner of Insurance finds that an emergency exists and that the attached rule is necessary for the immediate preservation of the public peace, health, safety, or welfare. Facts constituting the emergency are as follows:
These changes must be in place with an effective date prior to July 1, 2013 in order for the new fiscal year assessments to be issued in accordance with s. 655.27 (3), Wis. Stats. The permanent rule-making process cannot be completed prior to the effective date of the new fee schedule. The fiscal year fund fees were established by the Board of Governors at the meeting held on December 19, 2012 and the mediation panel fees established by the Board of Governors at the meeting held on March 20, 2013.
_____________________________________________________________________________
ANALYSIS PREPARED BY THE OFFICE OF THE COMMISSIONER OF INSURANCE (OCI)
1. Statutes interpreted:
ss. 655.27 (3), and 655.61, Wis. Stats.
2. Statutory authority:
ss. 601.41 (3), 655.004, 655.27 (3) (b), and 655.61, Wis. Stats.
3. Explanation of OCI’s authority to promulgate the proposed rule:
The injured patients and families compensation fund (“fund”), was established by and operated under Ch. 655, Stats. The commissioner of insurance with approval of the board of governors (“board”) is required to annually set the fees for the fund and the medical mediation panel by administrative rule. The proposed fees comply with the limitation delineated in s. 655.27 (3) (br), Stats. Section 655.04, Stats., provides that the director of state courts and the commissioner may promulgate rules necessary to enable them to perform their responsibilities under this chapter. Pursuant to s. 655.27 (3) (b), Stats., the commissioner, after approval by the board, shall by rule set the fees to the fund and s. 655.61, Stats., requires the board, by rule, to set the fees charged to health care providers at a level sufficient to provide the necessary revenue to fund the medical mediation panels. Further, s. 601.41 (3), Stats., provides that the commissioner shall have rule-making authority pursuant to s. 227.11 (2), Stats.
4. Related statutes or rules:
None.
5. Plain language analysis:
This proposed rule establishes the fees that participating health care providers must pay to the fund for the fiscal year beginning July 1, 2013. These fees represent a 5% decrease from fees paid for the 2012-2013 fiscal year. The board approved these fees at its meeting on December 19, 2012, based on the recommendation of the board's actuarial and underwriting committee and reports of the fund’s actuaries.
The board is also required to promulgate by rule the annual fees for the operation of the injured patients and families compensation medical mediation system, based on the recommendation of the director of state courts. The recommendation of the director of state courts was reviewed by the board’s actuarial and underwriting committee. This rule implements the funding level approved by the board on March 20, 2013 by establishing mediation panel fees for the next fiscal year at $0 for physicians and $0 per occupied bed for hospitals, representing a decrease of $22.50 per physician and a decrease of $4.50 per occupied bed for hospitals from 2012-13 fiscal year mediation panel fees.
Finally this rule includes changes to the Insurance Services Office (ISO) code listing to address corrections to several classification specialties as well as new classification specialties. ISO codes are the numerical designation for a health care provider’s specialty and are used to classify the provider for assessment purposes. Errors identified in the ISO codes or specialty narratives for three specialties have been corrected. A third specialty had duplicate listings resulting in the exclusion of another specialty which has now been added. The Doctor of Osteopathy (D.O.) designated ISO codes have been added for two specialties previously listed only under the Doctor of Medicine (M.D.) ISO codes.
6. Summary of and comparison with any existing or proposed federal statutes and regulations:
To the fund board’s and OCI’s knowledge there is no existing or proposed federal regulation that is intended to address fund rates, administration or to fund medical mediation panel activities.
7. Comparison with rules in adjacent states:
To the fund board’s and OCI’s knowledge there are no similar rules in the adjacent states to compare this rule to as none of adjacent states have a fund created by statute where rates are directed to be established yearly by rule as is true in Wisconsin.
8. A summary of the factual data and analytical methodologies that OCI used in support of the proposed rule:
None. This rule establishes annual fund fees pursuant to the requirements of the above-noted Wisconsin statutes. The recommendation to the board regarding the fund fee and the medical mediation panel assessment is developed and reviewed annually by the fund’s actuaries and the board’s actuarial and underwriting committee. The actuarial and underwriting committee after review and discussion with the fund’s actuaries present the information and the actuaries report to the board for consideration. This proposed rule reflects the rates approved by the board at the December 19, 2012 and March 20, 2013 board meetings.
9. Analysis and supporting documentation that OCI used in support of OCI’s determination of the rule’s effect on small business or in preparation of an economic impact analysis:
This decrease in fund fees will have a positive effect on small businesses in Wisconsin, particularly those that employ physicians and other health care professionals. The mediation panel fee is assessed only on physicians and hospitals, not on corporations or other health care entities that will also benefit from the reduction to zero fees for fiscal year 2014. The fund fee decrease will affect only those small businesses that pay the fund fees and mediation panel fees on behalf of their employed physicians. The fund fee decrease will not have a significant effect nor should it negatively affect the small business’s ability to compete with other providers.
10. Effect on small business:
This rule will have little or no effect on small businesses. The decrease contained in the proposed rule will require providers to pay reduced fund fees which will decrease the operational expenses for the providers. The decrease in fees promulgated by this rule should not result in a significant fiscal effect on the private sector.
11. A copy of any comments and opinion prepared by the Board of Veterans Affairs under s. 45.03 (2m), Stats., for rules proposed by the Department of Veterans Affairs.
None.
12. Agency contact person:
A copy of the full text of the proposed rule changes, analysis and fiscal estimate may be obtained from the Web site at: http://oci.wi.gov/ocirules.htm
or by contacting Inger Williams, OCI Services Section, at:
Phone: (608) 264-8110
Email: inger.williams@wisconsin.gov
Address: 125 South Webster St – 2 nd Floor, Madison WI 53703-3474
Mail: PO Box 7873, Madison, WI 53707-7873
13. Place where comments are to be submitted and deadline for submission:
The deadline for submitting comments is 4:00 p.m. on the 14 th day after the date for the hearing stated in the Notice of Hearing.
Mailing address:
Julie E. Walsh
Legal Unit - OCI Rule Comment for Rule Ins 1701
Office of the Commissioner of Insurance
PO Box 7873
Madison WI 53707-7873
Street address:
Julie E. Walsh
Legal Unit - OCI Rule Comment for Rule Ins 1701
Office of the Commissioner of Insurance
125 South Webster St – 2 nd Floor
Madison WI 53703-3474
Email address:
Julie E. Walsh
Julie.Walsh@wisconsin.gov
Web site: http://oci.wi.gov/ocirules.htm
_____________________________________________________________________________
The proposed rule changes are:
SECTION 1. Ins 17.01 (3) is amended to read :
Ins 17.01 (3) FEE SCHEDULE. The following fee schedule shall be effective July 1,
20122013 :(a) For physicians--
$22.50$0 .(b) For hospitals, per occupied bed--
$4.50$0 .SECTION 2. Ins 17.28 (3) (c) 1., 2., and 3., are amended to read:
Ins 17.28 (3) (c) 1. Class 1:
Administrative Medicine
80120
Aerospace Medicine
80230
Allergy
80254
Allergy (D.O.)
84254
Cardiovascular Disease—no surgery or catheterization
80255
Cardiovascular Disease—no surgery or catheterization (D.O.)
84255
Dermatology—no surgery
80256
Dermatology—no surgery (D.O.)
84256
Diabetes—no surgery
80237
Endocrinology—no surgery
80238
Endocrinology—no surgery (D.O.)
84238
Family or General Practice—no surgery
80420
Family or General Practice—no surgery (D.O.)
84420
Forensic Medicine—Legal Medicine
80240
Forensic Medicine—Legal Medicine (D.O.)
84240
Gastroenterology—no surgery
80241
Gastroenterology—no surgery (D.O.)
84241
General Preventive Medicine—no surgery
80231
General Preventive Medicine—no surgery (D.O.)
84231
Geriatrics—no surgery
80243
Geriatrics—no surgery (D.O.)
84243
Gynecology—no surgery
80244
Gynecology—no surgery (D.O.)
84244
Hematology—no surgery
80245
Hematology—no surgery (D.O.)
84245
Hypnosis
80232
Infectious Diseases—no surgery
80246
Infectious Diseases—no surgery (D.O.)
84246
Internal Medicine—no surgery
80257
Internal Medicine—no surgery (D.O.)
84257
Laryngology—no surgery
80258
Manipulator (D.O.)
84801
Neoplastic Disease—no surgery
80259
Nephrology—no surgery
80260
Nephrology – no surgery (D.O.)
84260
Neurology—no surgery
80261
Neurology—no surgery (D.O.)
84261
Nuclear Medicine
80262
Nuclear Medicine (D.O.)
84262
Nutrition
80248
Occupation Medicine
80233
Occupation Medicine (D.O.)
84233
Oncology – no surgery
80302
Oncology – no surgery (D.O.)
84302
Ophthalmology—no surgery
80263
Ophthalmology—no surgery (D.O.)
84263
Osteopathy—manipulation only
84801
Otology – no surgery
8024780264
Otorhinolaryngology—no surgery
80265
Otorhinolaryngology—no surgery (D.O.)
84265
Pain Management – no surgery
80208
Pain Management – no surgery (D.O.)
84208
Pathology—no surgery
80266
Pathology—no surgery (D.O.)
84266
Pediatrics—no surgery
80267
Pediatrics—no surgery (D.O.)
84267
Pharmacology—Clinical
80234
Physiatry—Physical Medicine (D.O.)
84235
Physiatry—Physical Medicine & Rehabilitation
80235
Physicians—no surgery
80268
Physicians—no surgery (D.O.)
84268
Psychiatry
80249
Psychiatry—(D.O.)
84249
Psychoanalysis
80250
Psychosomatic Medicine
80251
Psychosomatic Medicine (D.O.)
84251
Public Health
80236
Pulmonary Disease—no surgery
80269
Pulmonary Disease—no surgery (D.O.)
84269
Radiology—diagnostic
80253
Radiology—diagnostic (D.O.)
84253
Radiopaque dye
80449
Radiopaque dye (D.O.)
84449
Rheumatology—no surgery
80252
Rheumatology—no surgery (D.O.)
84252
Rhinology – no surgery
8026480247
Shock Therapy
80431
Shock Therapy (D.O.)
84431
Shock Therapy—insured
80162
Urgent Care—Walk-in or After Hours
80424
Urgent Care—Walk-in or After Hours (D.O.)
84424
Urology —no surgery
80121
2. Class 2:
Acupuncture
80437
Acupuncture (D.O.)
84437
Anesthesiology
80151
Anesthesiology (D.O.)
84151
Angiography-Arteriography—catheterization
80422
Angiography-Arteriography—catheterization (D.O.)
84422
Broncho-Esophagology
80101
Cardiovascular Disease—minor surgery
80281
Cardiovascular Disease—minor surgery (D.O.)
84281
Colonoscopy-ERCP-Pneu or mech esoph dil (D.O.)
84443
Colonoscopy-ERCP-pneu. or mech.
80443
Dermatology—minor surgery
80282
Dermatology – minor surgery (D.O.)
84282
Diabetes – minor surgery
80271
DermatologyDiabetes —minor surgery (D.O.)8428284271
Emergency Medicine—No Major Surgery
80102
Emergency Medicine—No Major Surgery (DO)
84102
Employed Physician or Surgeon
80177
Employed Physician or Surgeon (D.O.)
84177
Endocrinology—minor surgery
80272
Endocrinology—minor surgery (D.O.)
84272
Family Practice—and general practice minor surgery—No OB
80423
Family Practice—and general practice minor surgery—No OB (D.O.)
84423
Family or General Practice—including OB
80421
Family or General Practice – including OB (D.O.)
84421
Gastroenterology—minor surgery
80274
Gastroenterology—minor surgery (D.O.)
84274
Geriatrics—minor surgery
80276
Geriatrics—minor surgery (D.O.)
84276
Gynecology—minor surgery
80277
Gynecology—minor surgery (D.O.)
84277
Hematology—minor surgery
80278
Hematology—minor surgery (D.O.)
84278
Hospitalist
80296
Hospitalist (D.O.)
84296
Infectious Diseases—minor surgery
80279
Intensive Care Medicine
80283
Intensive Care Medicine (D.O.)
84283
Internal Medicine—minor surgery
80284
Internal Medicine—minor surgery (D.O.)
84284
Laparoscopy
80440
Laparoscopy (D.O.)
84440
Laryngology—minor surgery
80285
Myelography – Discogram-Pneumoencephalo
80428
Myelography-Discogram-Pneumoencephalo (D.O.)
84428
Needle Biopsy
80446
Needle Biopsy (D.O.)
84446
Nephrology—minor surgery
80287
Neonatology
80298
Neonatology (D.O.)
84298
Neoplastic Disease—minor surgery
80286
Neurology—minor surgery
80288
Neurology—minor surgery (D.O.)
84288
Oncology – minor surgery
80301
Oncology – minor surgery (D.O.)
84301
Ophthalmology—minor surgery
80289
Ophthalmology—minor surgery (D.O.)
84289
Otology – minor surgery
80290
Otorhinolaryngology—minor surgery
80291
Otorhinolaryngology—minor surgery (D.O.)
84291
Pain Management – Basic procedures
80182
Pain Management – Basic procedures (D.O.)
84182
Pathology—minor surgery
80292
Pathology—minor surgery (D.O.)
84292
Pediatrics—minor surgery
80293
Pediatrics—minor surgery (D.O.)
84293
Phlebography-Lymphangeography
80434
Phlebography-Lymphangeography (D.O.)
84434
Physicians—minor surgery
80294
Physicians – minor surgery (D.O.)
84294
Radiation Therapy—lasers
80425
Radiation Therapy—lasers (D.O.)
84425
Radiation Therapy – other than lasers
80165
Radiology—diagnostic-interventional
procedures80280
Radiology—diagnostic-interventional
procedures (D.O.)84280
Rhinology – minor surgery
80270
Surgery—Colon & Rectal
80115
Surgery —Endocrinology
80103
Surgery—Gastroenterology
80104
Surgery – Gastroenterology (D.O.)
84104
Surgery—General Practice or Family Practice
80117
Surgery—General Practice or Family Practice (D.O.)
84117
Surgery—Geriatrics
80105
Surgery—Neoplastic
80107
Surgery—Nephrology
80108
Surgery—Ophthalmology
80114
Surgery—Ophthalmology (D.O.)
84114
Surgery—Urological
80145
Surgery—Urological (D.O.)
84145
3. Class 3:
Emergency Medicine—includes major surgery
80157
Emergency Medicine—includes major surgery (D.O.)
84157
Otology—surgery
80158
Radiation Therapy – employed physician
80163
Radiation Therapy – employed physician (D.O.)
84163
Shock Therapy – employed physician
80161
Shock Therapy – employed physician (D.O.)
84161
Surgery—Abdominal
80166
Surgery – Bariatrics
80476
Surgery – Bariatrics (D.O.)
84476
Surgery—Cardiac
80141
Surgery—Cardiovascular Disease
80150
Surgery—Cardiovascular Disease (D.O.)
84150
Surgery—General
80143
Surgery—General (D.O.)
84143
Surgery—Gynecology
80167
Surgery—Gynecology (D.O.)
84167
Surgery—Hand
80169
Surgery—Head & Neck
80170
Surgery – Laryngology
80106
Surgery—Orthopedic
80154
Surgery—Orthopedic (D.O.)
84154
Surgery—Otorhinolaryngology-no plastic
surgery80159
Surgery—Plastic
80156
Surgery—Plastic (D.O.)
84156
Surgery—Plastic-Otorhinolaryngology
80155
Surgery—Plastic-Otorhinolaryngology (D.O.)
84155
Surgery—Rhinology
80160
Surgery—Thoracic
80144
Surgery—Thoracic (D.O.)
84144
Surgery—Traumatic
80171
Surgery—Traumatic (D.O.)
84171
Surgery—Vascular
80146
Surgery – Vascular (D.O.)
84146
Weight Control—Bariatrics
80180
SECTION 3. Ins 17.28 (6) is repealed and recreated to read:
(6) Fee schedule. The following fee schedule is in effect from July 1, 2013 to June 30, 2014:
(a) Except as provided in pars. (b) to (f) and sub. (6e), for a physician for
whom this state is a principal place of practice:
Class 1…. $1,457 Class 3….$ 5,828
Class 2…. $2,623 Class 4….$9,616
(b) For a resident acting within the scope of a residency or fellowship program:
Class 1….. $ 729 Class 3….$2,916
Class 2….. $1,312 Class 4….$4,811
(c) For a resident practicing part-time outside the scope of a residency or fellowship program:
All classes……………………………… $874
(d) For a Medical College of Wisconsin, Inc., full-time faculty member:
Class 1….. $ 583 Class 3… .$2,332
Class 2…..$1,049 Class 4… .$3,848
(e) For physicians who practice part-time:
1. For a physician who practices fewer than 500 hours during the fiscal year, limited to office practice and nursing home and house calls, and who does not practice obstetrics or surgery or assist in surgical procedures: ..$ 364
2. For a physician who practices 1040 hours or less during the fiscal year, including those who practice fewer than 500 hours during the fiscal year whose practice is not limited to office practice, nursing homes or house calls or who do practice obstetrics, surgery or assist in surgical procedures:
Class 1…..$ 874 Class 3….$3,496
Class 2…..$1,573 Class 4….$5,768
(f) For a physician for whom this state is not a principal place of practice:
Class 1…..$ 729 Class 3….$2,916
Class 2…..$1,312 Class 4….$4,811
(g) For a nurse anesthetist for whom this state is a principal place of practice: $ 358
(h) For a nurse anesthetist for whom this state is not a principal place of practice:……………………………………………………………………………………………$ 179
(i) For a hospital, all of the following fees:
1. Per occupied bed………………………………………………………………………$ 87
2. Per 100 outpatient visits during the last calendar year for which totals are available:………………………………………………………………………………………….$ 4.35
(j) For a nursing home, as described under s. 655.002 (1) (j), Stats., that is wholly owned and operated by a hospital and that has health care liability insurance separate from that of the hospital by which it is owned and operated:
Per occupied bed……………………………………………………………………….…..$ 17
(k) For a partnership comprised of physicians or nurse anesthetists, organized for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:
1. a. If the total number of partners and employed physicians and nurse anesthetists is from 2 to 10…………………………………………………………………………………………$ 51
b. If the total number of partners and employed physicians and nurse anesthetists is from 11 to 100……………………………………………………………………………………..$ 503
c. If the total number of partners and employed physicians and nurse anesthetists exceeds 100……………………………………………………..……………………………..…$1,252
2. The following fee for each full-time equivalent allied health care professional employed by the partnership as of the most recent completed survey submitted:
Employed Health Care Professionals Fund Fee
Nurse Practitioners……………………………………………………..………………..….$ 364
Advanced Nurse Practitioners……………………………………….……………..…………510
Nurse Midwives………………………………………………………..…..…………………3,205
Advanced Nurse Midwives………………………………………………..…………………3,351
Advanced Practice Nurse Prescribers ………………………………..…………..…………..510
Chiropractors……………………………………………………………………………..……...583
Dentists…………………………………………………………………..………………..……..291
Oral Surgeons……………………………………………………………………..…………..2,186
Podiatrists-Surgical…………………………………………………….………………..……6,192
Optometrists………………………………………………………..…………..……………….291
Physician Assistants………………………………………………………………………..…..291
(L) For a corporation, including a service corporation, with more than one shareholder organized under ch. 180, Stats., for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:
1. a. If the total number of shareholders and employed physicians and nurse anesthetists is from 2 to 10……………………………………………………………...…….$ 51
b. If the total number of shareholders and employed physicians and nurse anesthetists is from 11 to 100…………………………………………………………..……$ 503
c. If the total number of shareholders and employed physicians or nurse anesthetists exceeds 100……………………………………………………….…………….$1,252
2. The following fee for each full-time equivalent allied health care professional employed by the corporation as of the most recent completed survey submitted:
Employed Health Care Professionals Fund Fee
Nurse Practitioners…………………………………………….………………………….$ 364
Advanced Nurse Practitioners………………………………..……..………………………510
Nurse Midwives………………………………………………..……………………………3,205
Advanced Nurse Midwives………………………………….………..……………………3,351
Advanced Practice Nurse Prescribers ……………………..………………………..……….510 Chiropractors…………………………………………………….………………..…………...583
Dentists………………………………………………………………………..………………..291
Oral Surgeons…………………………………………………….………..………………..2,186
Podiatrists-Surgical………………………………………………..……………..…………6,192
Optometrists…………………………………………………………..……………..………….291
Physician Assistants…………………………………………………..……..………………..291
(m) For a corporation organized under ch. 181, Stats., for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:
1. a. If the total number of employed physicians and nurse anesthetists is from 1 to 10……………………………………………………………..……………………………….$ 51
b. If the total number of employed physicians and nurse anesthetists is from 11 to 100……………………………………………………………………………………………...$ 503
c. If the total number of employed physicians or nurse anesthetists exceeds 100………………………………………………………………………………………..……….$1,252
2. The following fee for each full-time equivalent allied health care professional employed by the corporation as of the most recent completed survey submitted:
Employed Health Care Professionals Fund Fee
Nurse Practitioners ……………………………………………………………….……….$ 364
Advanced Nurse Practitioners…………………………………………………….……….…510
Nurse Midwives…………………………………………………………………………....…3,205
Advanced Nurse Midwives…………………………………………………………….……3,351
Advanced Practice Nurse Prescribers …………………………………………………….…..510
Chiropractors………………………………………………………………………………..…...583
Dentists……………………………………………………………………..………………..…..291
Oral Surgeons……………………………………………………………….………..…..…..2,186
Podiatrists-Surgical…………………………………………………..…….….………..……6,192
Optometrists…………………………………………………………………………….……….291
Physician Assistants …………………………………………………………………………..291
(n) For an operational cooperative sickness care plan as described under s. 655.002 (1) (f), Stats., all of the following fees:
1. Per 100 outpatient visits during the last calendar year for which totals are available…………………………………………………………………………….………………$0.11
2. 2.5% of the total annual fees assessed against all of the employed physicians.
3. The following fee for each full-time equivalent allied health care professional employed by the operational cooperative sickness plan as of the most recent completed survey submitted:
Employed Health Care Professionals Fund Fee
Nurse Practitioners…………………………………………………………………..…….$ 364
Advanced Nurse Practitioners…………………………………………………………….…510
Nurse Midwives………………………………………………………………………..…….3,205
Advanced Nurse Midwives…………………………………………………..…………….3,351
Advanced Practice Nurse Prescribers ………………………………………..……………..510
Chiropractors……………………………………………………………………..……….…...583
Dentists……………………………………………………………………………………..…..291
Oral Surgeons………………………………………………………………………..….…..2,186
Podiatrists-Surgical………………………………………………………………..……..…6,192
Optometrists………………………………………………………………………….…..…….291
Physician Assistants……………………………………………………….…………..……..291
(o) For a freestanding ambulatory surgery center, as defined in s. DHS 120.03 (13), per 100 outpatient visits during the last calendar year for which totals are available:………………………………………………………………………………………….$22.73
(p) For an entity affiliated with a hospital, the greater of $100 or whichever of the following applies:
1. 7.0% of the amount the entity pays as premium for its primary health care liability insurance, if it has occurrence coverage.
2. 10.0% of the amount the entity pays as premium for its primary health care liability insurance, if it has claims-made coverage.
(q) For an organization or enterprise not specified as a partnership or corporation that is organized and operated in this state for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:
1. a. If the total number of employed physicians and nurse anesthetists is from 1 to 10………………………………………………………………………………...………………$ 51
b. If the total number of employed physicians and nurse anesthetists is from 11 to 100……………………………………………………………………………………………...$ 503
c. If the total number of employed physicians or nurse anesthetists exceeds
100………………………………………………………………………………………………$1,252
2. The following for each full-time equivalent allied health care professional employed by the organization or enterprise not specified as a partnership, corporation, or an operational cooperative health care plan as of the most recent completed survey submitted:
Employed Health Care Professionals Fund Fee
Nurse Practitioners……………………………………………………………………….$ 364
Advanced Nurse Practitioners…………………………………………..…..………………510
Nurse Midwives………………………………………………………………..……………3,205
Advanced Nurse Midwives…………………………………………………….…..………3,351
Advanced Practice Nurse Prescribers …………………………………………..…………..510
Chiropractors………………………………………………………………………...………...583
Dentists…………………………………………………………………………..……………..291
Oral Surgeons………………………………………………………………..………………2,186
Podiatrists-Surgical……………………………………………………………..……………6,192
Optometrists………………………………………………………………………….……….….291
Physician Assistants………………………………………………………………..…………..291
SECTION 4. These changes may be enforced under s. Ins 17.01 (2) (d) and (e).
SECTION 5 . EFFECTIVE DATE. These emergency rule changes will take effect on the date of publication as provided in s. 227.24(1)(c), Stats.
Dated at Madison, Wisconsin, this 7 th day of June , 2013.
_________________________________________
Theodore K. Nickel
Commissioner of Insurance
Office of the Commissioner of Insurance
Fiscal Estimate
for Section Ins 17.01, 17.28 (3) (c) and (6) relating to Injured Patients and Families Compensation Fund Annual fund and Mediation Panel Fees and ISO code amendments for the fiscal year beginning July 1, 2013 and affecting small business
This rule change will have no significant effect on the private sector as this proposed rule reduces fees to participants in the fund and reduces mediation panel fees to zero. The fund is a segregated account and does not impact state funds. The rule decreases fees and therefore does not have an effect on county, city, village, town, school district, technical college district and sewerage district fiscal liabilities and revenues.
S tate of W isconsin / OFFICE OF THE COMMISSIONER OF INSURANCE
125 South Webster Street · P.O. Box 7873
Madison, Wisconsin 53707-7873
Phone: (608) 266-3585 · Fax: (608) 266-9935
E-Mail: ociinformation@wisconsin.gov
Web Address: oci.wi.gov
Scott Walker, Governor
Theodore K. Nickel, Commissioner
Wisconsin.gov
STATE OF WISCONSIN ³
³ SS
OFFICE OF THE COMMISSIONER OF INSURANCE ³
I, Theodore K. Nickel, Commissioner of Insurance and custodian of the official records, certify that the annexed emergency rule affecting Section Ins 17.01, 17.28 (3) and 17.28 (6), Wis. Adm. Code, relating to the Injured Pateints and Families Compensation Fund annual fund and mediation panel fees, and ISO code amendments for the fiscal year beginning July 1, 2013 and affecting small business, is duly approved and adopted by this Office on June 7, 2013.
I further certify that I have compared this copy with the original on file in this Office and that it is a true copy of the original, and the whole of the original.
IN TESTIMONY WHEREOF, I have hereunto set my hand at 125 South Webster Street, Madison, Wisconsin,
on June 7, 2013.
_______________________________________
Theodore K. Nickel
Commissioner of Insurance
