In 2014, we dreamt up a healthcare facility, built for and around our Chippewa Valley patients, that specializes in high quality care of every need from the neck up. We sought to deliver this care conveniently under one roof, with concierge level service and a comfortable atmosphere. A place where we could welcome each patient as one of our family and where they would be treated individually and with trust, honesty and respect.
After years of shaping this vision, we are proud to present to you, DeFatta ENT & Allergy, DeFatta Hearing Aid Experts, and River Prairie Pharmacy. Together, we are DeFatta Health–your first stop for exceptional medical and surgical care for a diverse range of conditions affecting the ears, nose, throat, head and neck region—from simple to severe, for newborns to geriatrics. This means our physicians can treat your unrelenting sinus pressure or pain, your child’s swimmer’s ear, or your father’s sleep apnea. We are also surgeons who perform extremely delicate procedures or operations to rejuvenate tired looking eyes, restore hearing, open blocked airways, remove neck and throat cancers, and rebuild these essential structures to restore your quality of life.
We offer the widest range of treatment options administered by an advanced degreed team of physicians, surgeons, mid-level providers, audiologists and hearing instrument specialists. Take comfort in the fact that we routinely use this expertise to care for you in a non-intimidating and comfortable environment. Just ask any of our patients. And because we hold our staff to the same high-quality standards to which we hold ourselves, we will always strive to give you superior service. So, the next time you need a checkup from the neck up, please give us a call, and let our family take care of your family.
Dr. Robert J. DeFatta attended Louisiana State University in Baton Rouge, LA where he received a Bachelor of Science in 1995. He then began medical school at the Louisiana State University Health Sciences Center at Shreveport, LA and received both his Doctor of Medicine and his Ph.D. in cancer gene therapy in 2002. From 2002-2003, Dr. DeFatta completed his general surgery internship, followed by residency training in otolaryngology–head and neck surgery from 2003-2007 at University of Texas Southwestern Medical Center at Dallas, TX. During his head and neck surgical training, Dr. DeFatta developed a love of plastic surgery and reconstruction of the face, head and neck while working with Dr. Yadro Ducic, a world-renowned reconstructive surgeon.
Striving for expert training in this area, Dr. Robert pursued a fellowship through the American Academy of Facial and Plastic Reconstructive Surgery with Dr. Edwin Williams at Williams Plastic Surgery Specialists in Latham, NY from 2007-2008. During this year of training, he also began serving on the faculty at Albany Medical Center Otolaryngology residency program, where his work was dedicated to cosmetic and reconstructive surgery of the nose, eyes, face and neck. Throughout his training and career, he has published extensively in peer-reviewed medical journals on both otolaryngology and facial plastic surgery topics, has authored chapters in otolaryngology textbooks and serves on the editorial boards of multiple specialty medical journals. He has been invited to lecture locally, nationally and internationally, and continues his dedication to teaching by serving as volunteer faculty for the University of Wisconsin Family Medicine Residency program.
His experience include: treatment with Botox and facial fillers, rhinoplasty and face lifts, aesthetic concealing of incisions after facial skin cancer resection, repairing complex facial fractures and microvascular reconstruction of large head, mouth and neck wounds after cancer resection. Double board certification in the science and art of balancing beautiful structure and optimal function—exclusively within the face, head and neck—is what qualifies Dr. Robert DeFatta as the Face Expert.
Dr. Rima A. DeFatta is a board certified ear, nose, and throat surgeon. She earned her medical degree from Temple University School of Medicine in Philadelphia, PA and completed her residency in otolaryngology-head and neck surgery at Albany Medical Center in Albany, NY. She received her fellowship training in care of the professional voice with Dr. Robert Sataloff at the American Institute for Voice and Ear Research in Philadelphia, PA. She specializes in medical and surgical management of voice, swallowing and airway disorders.
Board Certification
Professional Societies
Medical Journal Editorial Boards
Selected Publications
Books
I started my healthcare journey by receiving my Bachelor of Science in Nursing from Winona State University in 2009. After practicing nursing in a variety of roles including Emergency Department, Medical Intensive Care, endoscopy, and Pre/Intra/Postop care, I decided to further my education. I finished my Master of Science in Nursing from Maryville University in 2017 and became Board certified through the American Association of Nurse Practitioners. Prior to joining DeFatta Health, I worked as a Nurse Practitioner Hospitalist. Working with patients and families across the lifespan as a team to best optimize their health is my passion. Outside of work I enjoy spending time with my husband and sons, baking, camping, being outdoors, and on the water.
Dr. Huebler is a clinical audiologist with over 25 years of experience practicing in the state of Wisconsin, most of which have been spent here in the Chippewa Valley. She received her master’s degree in audiology from Western Michigan University in 1995, and later received her Doctor of Audiology degree through AT Still University in 2009. She is also a veteran of the U.S. Army, serving honorably as a reservist from 1987-1999. Dr. Huebler enjoys working with patients of all ages and looks forward to serving fellow veterans as they address their hearing loss through VA Community Care.
“In switching employers after 25 years, it was important to me to find a practice that values its patients and its community,” Dr. Huebler said. “When Robert and Rima agreed to honor service warranties for hearing aid patients from my previous practice at their own expense, I knew it would be the right place for me.”
Dr. Huebler is happily married and the proud parent of three adult children. When she is not at work, Dr. Huebler can usually be found volunteering or performing with the Eau Claire Children’s Theater, where she also serves on the theater board of directors.
Patrick grew up in the Pacific Northwest. He completed his undergraduate degree in Biology at Whitworth University in Spokane, Washington. He went on to complete his Master’s Degree in Physician Assistant Studies at Rosalind Franklin University of Medicine and Science in Chicago.
Patrick spent the past 10 years of his Physician Assistant career practicing within the specialty of Ear, Nose and Throat in both Washington and Colorado. He was first drawn to ENT due to the diversity of issues with which patients present. Patrick loves being able to help improve patients’ health and quality of life through medical, procedural, and surgical treatments. Patrick is a member of the Society of Physician Assistants in Otorhinolaryngology and the American Academy of Physician Assistants.
Patrick and his wife have four children. They enjoy spending time outdoors, connecting with extended family in the Midwest, reading, swimming and playing soccer!
An otolaryngologist is a physician trained in the medical and surgical management of ear, nose and throat diseases and disorders.
Commonly referred to as ENTs, they identify and treat diseases of the ears, nose, sinuses, larynx, mouth, throat and structures of the face and neck. Otolaryngologists complete up to 15 years of college and post-graduate training, including medical school. Many also complete a one- or two-year fellowship to gain more extensive training.
All otolaryngologist must be certified by the American Board of Otolaryngology.
There are seven areas of expertise in the field of otolaryngology:
Below is a handy self-screener that can help you determine if you should see an ENT.
If you answered yes to two or more of these questions, you may be experiencing an ear, nose or throat disorder.
Call DeFatta Health at (715) 828-2368 for more information or to schedule an appointment.
Laryngology is the study of the larynx, or the human voice box. It is a growing and exciting area of medicine that marries the fields of medicine, surgery and performing voice.
Surgeons in this specialty area have completed the following steps to become a laryngologist:
Laryngologists can focus their work on one or all of the following areas:
Laryngologists work with other specialists to provide comprehensive care of these problems.
Having a voice or swallowing concern? Call DeFatta ENT & Allergy at (715) 828-2368 for more information or to schedule an appointment with our expert laryngologist, Dr. Rima DeFatta.
Have you ever wondered what exactly an audiologist does, besides check your hearing? If you have been diagnosed with hearing loss, you’ll want to learn as much as you can about this professional who will be intimately involved in helping you come up with a solution that allows you to communicate more effectively.
An audiologist is a professional who specializes in the evaluation, diagnosis and treatment of hearing and balance disorders. Most have earned an Au.D. (Doctor of Audiology) while others have received a master’s degree from an accredited university, where they received extensive training in the prevention, identification, assessment and treatment of hearing and balance disorders.
They have to complete an externship, pass a national competency examination and obtain professional certification and licensure in the state(s) where they practice.
Audiologists work with patients of all ages, treating infants, children and adults for a variety of hearing and balance problems. They work in diverse settings like hospitals, schools, clinics, universities, private practices, VA hospitals, hearing aid dispensaries and otolaryngology (ENT) offices. Audiologists are responsible for services such as:
All in all, audiologists are the most qualified individuals to help you manage your hearing loss or balance disorder, and they provide an unparalleled breadth of care.
Call DeFatta Hearing Aid Experts at (715) 930-1940 for more information or to schedule an appointment.
A hearing instrument specialist, is a professional who specializes in the diagnosis and treatment of hearing loss with hearing aids. In addition to specialized education and training, they must pass Wisconsin’s written and practical exam to become licensed by the state to work with patients.
Hearing instrument specialists may have advanced training and education in a specific condition such as tinnitus. This specialty requires the hearing instrument specialist to pass an international exam, given by the International Hearing Society, in order to become certified to treat patients with tinnitus. Also, hearing instrument specialists may choose to become board-certified, which requires them to pass a national exam given by the National Hearing Instrument Society.
Hearing instrument specialists work primarily with adult patients and specialize in hearing loss, acoustics of the ear and hearing instruments. They work in diverse settings like hospitals, schools, clinics, universities and private practices; most can be found in an office that provides hearing aid services to those with sensorineural hearing loss, also known as nerve deafness.
Hearing instrument specialists are trained to interpret hearing assessments and use that information to select the best hearing aid possible for their patients. After trying on and testing out a number of options, the hearing aid model is selected, and the hearing instrument specialist can get to work fitting and programing the device to match the individual’s exact degree of hearing loss.
Call DeFatta Hearing Aid Experts at (715) 930-1940 for more information or to schedule an appointment.
With many different types of aesthetic surgeons in practice today, it is important to make an informed decision when considering an elective or reconstructive procedure. Surgeons who are experts specifically in the areas of the face and neck are called facial plastic surgeons. They are board certified by the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS). For more than 30 years, the ABFPRS has been actively dedicated to improving the quality of facial plastic surgery available to the public by measuring the qualifications of candidate surgeons against certain rigorous standards. Click here to learn more about facial plastic surgeons.
Dr. Robert J. DeFatta is dual board certified, both by the ABFPRS and the American Board of Otolaryngology-Head and Neck Surgery. His extensive training, credentials and experience reflect his commitment to meeting the highest standards of clinical care for his patients. He has dedicated his entire 15-year career to the treatment of disorders and cosmetic concerns of the face, head and neck.
Ready to start your transformation? Call Robert J. DeFatta, MD Facial Plastic Surgery at (715) 930-1944 to schedule your consultation.
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Your Rights and Protections Against Surprise Medical Bills
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
What is “balance billing” (sometimes called “surprise billing”)?
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.
You are protected from balance billing for:
Emergency services
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services.This includes services you may get after you’re in stable condition unless you give written consent and give up your protections not to be balance billed for these post-stabilization services.
Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.
If you get other services at these in-network facilities, out-of-network providers can’t balance bill you unless you give written consent and give up your protections.
You’re never required to give up your protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
When balance billing isn’t allowed, you also have the following protections:
You are only responsible for paying your share of the cost (like the copayments, coinsurance and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
Your health plan generally must:
Cover emergency services without requiring you to get approval for services in advance (prior authorization).Cover emergency services by out-of-network providers.
Base what you owe the provider or facility (cost-sharing) on what it would pay an in‑network provider or facility and show that amount in your explanation of benefits.
Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.
If you believe you’ve been wrongly billed, you may contact the following:
Federal: Call the No Surprises Help Desk at 1 (800) 985-3059, file a complaint online at www.cms.gov/nosurprises/consumers/complaints-about-medical-billing or start a dispute online at www.cms.gov/nosurprises/consumers/medical-bill-disagreements-if-you-are-uninsured.
Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY
OUR PROMISE TO YOU, OUR PATIENTS
Your information is important and confidential.
Our ethics and policies require that your information be held in strict confidence.
Questions or Concerns
If you have any questions or concerns regarding your privacy rights or the information in this notice, please contact:
Privacy Officer
DeFatta Health
1490 Rivers Edge Tr Altoona WI 54720715-828-2368 or (844) 346-9368
Effective April 15, 2014
Understanding Your Health Record
Each time you visit DeFatta Health, a record of your visit is made. Typically, this record contains your demographic information, symptoms, examination and test results, diagnoses, treatment, and a plan for future care or treatment. This information, often referred to as your health or medical record, serves as a:
• Basis for planning your care & treatment,
• Means of communication among the health professionals who contribute to your care,
• Legal document describing the care you received,
• Means by which you or a third-party payer can verify that services billed were actually provided.
Understanding what is in your record and how your health information is used helps you to better understand who, what, when, where, and why others may access your health information and to make more informed decisions when authorizing disclosure to others.
Protecting Your Privacy It is your right as a patient to be informed of the privacy practices of your health care provider as well as to be informed of your privacy rights with respect to your personal health information. This Notice of Privacy Practices is intended to provide you with this information. This Notice is effective April 15, 2014, and applies to all protected health information as defined by federal regulations.
Our Responsibilities
DeFatta Health is required to:
• Maintain the privacy of your health information,
• Provide you with a notice of the legal duties and privacy practices regarding protected health information collected and maintained about you; and
• Abide by the terms of this notice
We reserve the right to change the terms of the notice of privacy practices and make the new notice provisions effective for all protected health information we maintain. We also reserve the right to change the terms of this notice with respect to any applicable more limited uses and disclosures. We will promptly revise and distribute our notice whenever we make a substantial change to any of our privacy practices. We will keep a posted copy of the most current notice in our facility containing the effective date in the bottom, right-hand corner. In addition, each time you visit our facility for treatment, you may obtain a copy of the current notice in effect upon request. We will not use or disclose your health information without your authorization, except as described in this notice. It is our responsibility to notify you if there is a breach of confidentiality.
Your Health Information Rights lii
Although your health record is the physical property of DeFatta Health the information belongs to you. You have the right to:
• Request a restriction on certain uses and disclosures of your protected health information, even if the restriction affects your treatment, payment or health care operation activities. However, we are not required by law to agree to a requested restriction.
For example, if you are an employee of the clinic and you receive health care services in the clinic, you may request that your health care record not be maintained in the general record filing area.
• Request confidential communications by alternative means or at alternative locations. This request must be submitted in writing. We shall accommodate reasonable requests.
For example, you may request to be contacted at a phone number that is different from the phone number listed in your healthcare record.
• Inspect and obtain a copy of your health care record. This request must be submitted in writing to our staff. We may charge you a reasonable fee for a copy of your health care record.
• Request an amendment to your health care record if you believe your health information is incorrect or incomplete. You may be asked to make this request in writing and state the reason why your health care record should be changed. If we disagree with you, we may deny your request.
For example, if you believe that information in your medical history is incorrect, such as your birth date, you may request that this information be amended.
• Obtain an accounting of disclosures of your health information that we have made in compliance with state and federal law, beginning with disclosures made after April 15, 2014. The accounting will describe the dates of each disclosure, a brief description of information disclosed, and the reason for disclosure.
For example, you may request an accounting of disclosures made from your health record in the last year to the State for disease reporting.
• Obtain a paper copy of this notice of privacy policies upon request.
For example, if you received the notice electronically, you may request that we provide a paper copy of the notice.
Uses and Disclosures for Treatment, Payment, and Health Organizations
We are permitted by the federal privacy rule to use or disclose your health information, without your written consent or authorization, for certain treatment, payment, or health care operations.
• We may use or disclose your health information in the provision, coordination or management of your health care.
For example: Your information may be disclosed from one physician to another if they are consulting each other in relation to your care and treatment. We will also provide your other physician(s) or subsequent health care provider(s) (when applicable) with copies of various reports that should assist them in treating you and to ensure continuity of care.
• We may use or disclose your health information to obtain reimbursement for health care services provided to you.
For example: Your information may be used or disclosed to your insurer to obtain payment for the provisions of health care services.
• We may use or disclose your health information for evaluation of patient care services, evaluating the performance of health care providers, activities relating to compliance with the law and business planning and development.
For example: Your information may be used or disclosed to measure the quality of the services we provide, or assess the effectiveness of your treatment when compared to patients in similar situations.
Uses or Disclosures of Your Protected Health Information Permitted Without Your Authorization
Without your written authorization, we may use or disclose your health information for the following purposes:
As Required by Law: We may use or disclose your protected health information to the extent that the use or disclosure is required by law and the use or disclosure complies with and is limited to the relevant requirements of the law. Uses and disclosures required by federal privacy rule and limited by the more protective requirements of state law include the following:
Disclosures about victims of elderly or child abuse;
Disclosures for judicial and administrative proceedings; or
Disclosures for law enforcement purposes.
Public Health: As required by law, we may disclose your health information to the State of Wisconsin for the purpose of statutory reporting.
Judicial and Administrative Proceedings: We may disclose your protected health information in response to a court order.
Law Enforcement: We may disclose your protected health information to county law enforcement officials for the reporting and investigation of elderly and/or child abuse or in response to a court order.
Organ Procurement Organizations: Consistent with applicable law, we may disclose health information to organ procurement organizations or other entities engaged in the procurement, banking, or transplantation of organs for the purpose of tissue donation and transplant.
Research: We may use or disclose your protected health information for research purposes if the researcher has obtained your permission or fulfilled the stringent privacy requirements of state and federal law.
Food and Drug Administration (FDA): We may disclose to the FDA health information relative to adverse events with respect to food, supplements, product and product defects, or post marketing surveillance information to enable product recalls, repairs, or replacement.
Workers Compensation: We may disclose protected health information that is reasonably related to a work related illness or injury if an application for workers’ compensation has been filed.
Appointment Reminders: We may contact you or a family member at the phone number you have provided to us as a reminder that you have an appointment.
Marketing: We may contact you to provide information about treatment alternatives or other health-related benefits and services that may be of interest to you.
Notification: We may use or disclose information to notify or assist in notifying a family member or personal representative (or other person responsible for your care) of your location and general condition.
Communication: Health professionals, using their best judgment, may disclose to a family member, other relative, or close personal friend (or any other person you identify) health information relevant to that person’s involvement in your care or payment related to your care.
Except for the situations listed above and treatment, payment or health care operation purposes, the use or disclosure of your health information requires DeFatta Health to obtain your written authorization. You may withdraw your authorization in writing at any time by submitting your written withdrawal to DeFatta Health.
Right to Request Restrictions: You have the right to request a restriction or limitation on the medical information we use or disclose about you. If you pay out-of pocket in full for an item or service, then you may request that we not disclose information pertaining solely to such item or service to your health plan for purposes of payment or health care operations. We are required to agree with such a request, unless you request a restriction on the information we disclose to a health maintenance organization (“HMO”) and the law prohibits us from accepting payment from you above the cost-sharing amount for the item or service that is the subject of the requested restriction. However, we are not required to agree to any other request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment or you request that we remove the restriction.
For More Information or To Report a Problem
If you believe your privacy rights have been violated, you may file a complaint with DeFatta Health or with the Secretary of the Department of Health and Human Services. There will be no retaliation against you for filing a complaint.
Changes to This Notice
The effective date of this notice is April 15, 2014, and it has been updated effective April 6th, 2020. We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for medical information we already have about you, as well as any information we receive in the future. If the terms of this notice are changed, DeFatta Health will provide you with a revised notice upon request, and we will post the revised notice on our website and in designated locations at our clinic.