Fees for Copies of Health Care Provider Records Effective
July 1, 2011
PDF Version of DQA 11-029
(PDF, 49 KB)
Fees for Copies of Health Care Provider Records Effective
July 1, 2011
Effective July 1, 2011, 2011 Wisconsin Act 32 (Budget Bill) amended the
fees a health care provider is authorized to charge for copies of health
care records. The current version of Wis. Stat. § 146.83 (3f) (b) is
available at: https://docs.legis.wisconsin.gov/statutes/statutes/146.pdf
Wisconsin Statutes 146.81 (1) defines "health care provider" to
include Adult Family Homes, Community-based Residential Facilities,
Hospitals, Hospices, Nursing Homes (including Facilities Serving People with
Developmental Disabilities) and Rural Medical Centers. "Health care
provider" also includes individual healthcare professionals, such as
(but not limited to): nurses, physicians, physician assistants, physical
therapists, occupational therapists, psychologists, social workers, marriage
and family therapists, or professional counselors.
Effective July 1, 2011, the above identified health care providers may
charge no more than the following fees for requests for duplicate health
care records. [Wis. Stats. §146.83 (3f) (b)]
- Paper copies: $1 per page for the first 25 pages; 75 cents per page
for pages 26 to 50; 50 cents per page for pages 51 to 100; and 30 cents
per page for pages 101 and above.
- Microfiche or microfilm copies, $1.50 per page.
- Print of an X-ray, $10 per image.
- A single $8 charge for certification of copies, if the requester is
not the patient or a person authorized by the patient.
- A single retrieval fee of $20 for all copies requested, if the
requester is not the patient or a person authorized by the patient.
- Actual shipping costs and any applicable taxes.
Reduced Fees
Special lower fees apply if the person (or his or her authorized
representative) requests records for the purpose of appealing a denial of
social security disability or for use in determining social security
disability eligibility, or if the person is eligible for medial assistance.
Wis. Stat. §146.83 (1f) reduces the maximum fees to 25% of the fees set out
above. (A health care provider may charge 100 percent of the fees listed
above for providing a second or additional set of copies of a patient's
health care record for a patient who is eligible for medical assistance.)
Annual Adjustment of Fees
Beginning on July 1, 2012, the Department of Health Services will
annually adjust the amounts a health care provider may charge using the
method prescribed in s. 146.83 (3f) (c) 2., Wis. Stats. The adjusted amounts
will be published in the Wisconsin Administrative Register.
The Division of Quality Assurance is sending this information to health
care providers and asking administrators to inform their staff of the new
law. If you have questions about this information, please contact Alfred
Johnson, Director, Bureau of Technology, Licensing and Education at alfred.johnson@dhs.wisconsin.gov
PDF: The free Acrobat Reader®
software is needed to view and print portable document format (PDF) files. Learn
more.
Last Updated: November 03, 2011
|
