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Resolution 283-2016RESOLUTION NO. 283 -2016 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA AUTHORIZING THE WRITE -OFF OF TRAUMA AIR AMBULANCE RESIDENT WAIVER ACCOUNTS RECEIVABLE WHEREAS, Monroe County Fire Rescue Services provides air ambulance service; and WHEREAS, on May 20, 2009 the Board approved Resolution No. 152 -2009 adopting a fee waiver policy and process for trauma star air ambulance billing or trauma scene and critical care inter - facility flights for qualifying Monroe County residents for flights that occurred after November 4, 2008; and WHEREAS, the accounts shown on Exhibit B have applied for the resident waiver; and WHEREAS, the Board of County Commissioners of Monroe County contracted with Advance Data Processing, Inc. (ADPI) for trauma air ambulance billing and related professional services until March 31, 2014 as which time the billing was brought in- house; and WHEREAS, a report was provided by Advanced Data Processing, Inc. and in -house billing on these accounts and it was determined that all third party payments have been received and applied to their accounts; that the balances constituted the amount remains after all third party payments had been credited to the account; and that residents submitted sufficient documentation to qualify for the resident trauma air ambulance waiver; and WHEREAS, it is desired that these resident waiver trauma air ambulance service accounts receivable be written -off at this time; NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY: 1. Receivables for resident waiver air ambulance service 89 accounts listed on attached Exhibit B in the amount of $667,032.02 shall be deleted from the Fine and Forfeiture Fund. r___) " 2. Receivables for resident waiver air ambulance service 3 accounts listed on attached Exhii� B in the =amc mt of $28,285.52 shall be deleted from the Fine and Forfeiture Fund. PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, - Florida, a4 reear meeting of said Board held on the 22 " day of November, 2016. 1 Mayor George Neugent Yes Mayor Pro Tern David Rice Yes Commissioner Danny Kolhage Yes CC® issioner Heather Carruthers Yes ¢3 sioner Sylvia Murphy Yes l . I. K. BOARD OF COUNTY COMMISSIONERS CLERK OF MONROE COUNTY, FLORIDA By: Deputy Clerk Mayor / Chairman MONROE COUNTY ATTORNEY: I CE CCt3it . ,4 ­!C;- 4iEy PP BE=G A By. Pedro Mercado PEC "?G ASST- f EXHIBIT B Trip Detail Report (Current Payor) Iin House Resident Fee Waivers THp Date I$ BETWEEN 04/01/2014 AND 08/31/2016; AND Current Payor IS BILL PATIENT, AND Schedule IS RESIDENT WAIVER; AND Events IS Resident Waiver Approved Page 1 of 4 Gross CordracWaj Not Revenue !r IAn Date Run Customer Current Payor Allo wances ChaMes A Payments W Refunds 292 GLOBAL SKY AIRCHARTER CORP 2014 -0426 1021 BILL PATIENT $12,060.00 $0.00 $12,060.00 $0.00 $0.00 $0.00 $0.00 $12,060.00 2014-0619 1195 j BILL PATIENT $9,660.00 $0.00 $9,680.00 $0.00 $9,100.74 $0.00 30.00 $5%.26 2014-07-05 1572 i BILL PATIENT $12, 076.00 $4, 157.44 $7 ,918.56 $0.00 $6,309.09 $0.00 $0.00 $1,609.47 201411-05 2803 BILL PATIENT $13,980.00 $0.00 $13,980.00 $0.00 $0.00 $0.00 $0.00 $13,980.00 201412 -26 3024 BILL PATIENT $16,060.00 $0.00 $16,060.00 $0.00 $6,406.80 $0.00 $0.00 $10,653.20 2015-02.06 376 I BILL PATIENT $13,068.00 $0.00 $13,068.00 $0.00 $12,373.39 $0.00 $0.00 $894.61 201602 -28 685 BILL PATIENT $10,172.00 $0.00 $10,172.00 $0.00 $2,895.04 $0.00 $0.00 $7,478.96 201603 -02 607 BILL PATIENT $9,660.00 $2,655.74 $6,994.28 $0.00 $5,572.67 $0.00 $0.00 $1,421.59 2016-03-09 669 BILL PATIENT $16,060.00 $0.00 $18,060.00 $0.00 $11,948.00 $0.00 $0.00 $4,112.00 2016-03 -16 730 BILL PATIENT $16,080.00 $6, 378.67 $9 ,683.33 $0.00 $7,715.18 $0.00 $0.00 $1,968.15 201603 -28 857 BILL PATIENT $14, 860.00 $5, 680.87 $9,179.13 $0.00 $8,929.13 $0.00 $0.00 $250.00 20160331 888 BILL PATIENT $13,288.00 $0.00 $13, 268.00 $0.00 $6,607.20 $0.00 $0.00 $6,680.80 201604-02 912 BILL PATIENT $15,900.00 $0.00 $15 ,900.00 $0.00 $8,346.00 $0.00 $0.00 $7,554.00 20160410 1003 BILL PATIENT $16,080.00 $6,376.67 $9 ,683.33 $0.00 $7,715.18 $0.00 $0.00 $1,968.15 201504 -10 1005 BILL PATIENT $13, 288.00 $4,767.77 $8, 510.23 $0.00 $8,47623 $0.00 $0.00 $35.00 2015406.06 1285 ( BILL PATIENT $9,680.00 $0.00 $9,680.00 60.00 $7,453.38 $0.00 $0.00 $2,206.62 2015-0616 1360 BILL PATIENT $15,740.00 $0.00 $15,740.00 $0.00 $7,596.00 $0.00 $0.00 $8,144.00 2016 -06-23 1413 BILL PATIENT $15,180.00 $0.00 $15, 180.00 $0.00 $3,872.00 $0.00 $3,872.00 $15,180.00 2015.06 -27 1445 BILL PATIENT $16,740.00 $6,191.12 $9,648.88 $0.00 $9,298.88 $0.00 $0.00 $250.00 2015-08-03 1488 BILL PATIENT $18,080.00 $0.00 $16,060.00 $0.00 $14,736.79 $0.00 $0.00 $1,323.21 2016 -0607 1537 I BILL PATIENT $14,700.00 $0.00 $14,700.00 $0.00 $9,819.98 $0.00 $0.00 $4,880.02 20160618 1628 I BILL PATIENT $15,180.00 $0.00 $15,180.00 $0.00 $15,030.00 $0.00 $0.00 $160.00 20160&20 1674 BILL PATIENT $10,244.00 $0.00 $10,244.00 $0.00 $6,524.80 $0.00 $0.00 $3,71920 201608-24 1705 I BILL PATIENT $16,060.00 $6,376.67 $9,683.33 $0.00 $7,715.18 $0.00 $0.00 $1,968.15 2015-06-26 1728 BILLPATIENT $10,172.00 $0.00 $10, 172.00 $0.00 $3,632.00 $0.00 $0.00 $6,640.00 2015-0627 1742 BILL PATIENT $14 ,880.00 $6,660.87 $9,179.13 $0.00 $7,313A6 $0.00 $0.00 $1,865.87 20160628 1780 BILL PATIENT $14,380.00 $0,00 $14,380.00 $0.00 $7,052.00 $0.00 $0.00 $7,328.00 2015-07-02 1791 BILL PATIENT $12,980.00 $0.00 $12,980.00 $0.00 $0.00 $0.00 $0.00 $12,980.00 2015.07-06 1831 BILL PATIENT $12,076.00 $4,093.17 $7,982.83 $0.00 $7,682.83 $0.00 $0.00 $300.00 201607 -12 1888 BILL PATIENT $12,188.00 $4,129.19 $8,058.81 $0.00 $6,303.72 $0.00 $0.00 $1,755.09 2015-07 -12 1893 BILL PATIENT $13,980.00 $5,170.62 $8,808.38 $0.00 $7,018.86 $0.00 $0.00 $1,790.52 201607 -28 2033 BILL PATIENT $10,244.00 $3,004.36 $7,239.64 $0.00 $7,092.50 $0.00 $0.00 $147.14 2015-08-05 2102 BILL PATIENT $16,060.00 $6,378.67 $9,683.33 $0.00 $9,289.70 $0.00 $0.00 $393.63 2015-06.13 2167 BILL PATIENT $14,380.00 $0.00 $14,380.00 $0.00 $14,230.00 $0.00 $0.00 $150.00 2016-08 -17 2202 BILL PATIENT $9, 348.00 $0.00 $9 ,348.00 $0.00 $8,165.42 $0.00 $0.00 $1,182.68 2016.08-17 2205 BILL PATIENT $15,740.00 $0.00 $15,740.00 $0.00 $0.00 $0.00 $0.00 $15,740.00 20154)8.18 2211 BILL PATIENT $10,932,00 $0.00 $10 ,932.00 $0.00 $3,322,80 $0.00 $0.00 $7,609.20 RescueNet'*" . 1- • ....w. , u1--M - ATC^% .A" Printed on 9/26/2016 at 10:34:04AM 1 P\CT" 7 OOT Page 1 Page 1 of 4 I rip uezall rceporz tt;urrenz rayor) ('Flp Date IS BETWEEN 04101=14 AND 0813112016; AND Current Payor IS BILL PATIENT; AND Schedule IS RESIDENT WAIVER; AND Events IS Resident Waiver kpproved Page 2 of 4 > Sal Not Re tt! � j � p U Allowances [� Daft Rol Customer Current Pavor m Al PjIm'1.40.� Refunds Qyg 31-013AL SKY AIRCHARTER CORP !01548-20 2235 BILL PATIENT $12, 140.00 $4, 103.72 $8,038.28 $0.00 $6,402.89 $0.00 $0.00 $1,833.39 !015-08-25 2290 BILL PATIENT $12,140.00 $0.00 $12,140.00 $0.00 $0.00 $0.00 $0.00 $12,140.00 !016-09-12 2446 BILL PATIENT $14,880.00 $0.00 $14,860.00 $0.00 $13,936.01 $0.00 $0.00 $923.99 !016 -10.23 2749 BILL PATIENT $12,140.00 $4,124.62 $8,015.38 $0.00 $7,427.46 $0.00 $0.00 $687.93 !015-10 -26 2779 BILL PATIENT $14,380.00 $0.00 $14,380.00 $0.00 $10,380.00 $0.00 $0.00 $4,000.00 1 015.11 -01 2831 BILL PATIENT $14,380.00 $0.00 $14,380.00 $0.00 $0.00 $0.00 $0.00 $14,380.00 V1511 -03 2866 BILL PATIENT $12,140.00 $0.00 $12, 140.00 $0.00 $4,031.00 $0.00 $0.00 $8,109.00 1015-11 -19 3007 1 BILL PATIENT $16,810.00 $0.00 $16 ,810.00 $0.00 $5,000.00 $0.00 $0.00 $11,810.00 ?015.11 -22 3055 BILL PATIENT $21,360.00 $0.00 $21,350.00 $0.00 $0.00 $0.00 $0.00 $21,360.00 .015.11 -29 3079 BILL PATIENT $20,700.00 $0.00 $20,700.00 $0.00 $19,082.55 $0.00 $0.00 $1,617.45 2015.12.03 3108 BILL PATIENT $21,110.00 $12, 801.45 $8,308.56 $0.00 $8,308.55 $0.00 $0.00 $0.00 201512-04 3117 I BILL PATIENT $20,300.00 $0.00 $20,300.00 $0.00 $0.00 $0.00 50.00 $20,300.00 ?015 -12.08 3161 ( BILL PATIENT $20,300.00 $12, 263.72 $8 ,036.28 $0.00 $6,402.89 $0.00 $0.00 $1,833.39 201512 -11 3189 BILL PATIENT $24, 800.00 $0.00 $24 ,800.00 $0.00 $7,596.00 $0.00 $0.00 $17,204.00 201512 -19 3241 I BILL PATIENT $23,100.00 $0.00 $23,100.00 $0.00 $10,034.55 $0.00 $0.00 $13,065.45 201512 -19 3242 BILL PATIENT $20,300.00 $12,283.72 $8,036.28 $0.00 $8,402.89 $0.00 $0.00 $1,633.39 201512 -20 3266 I BILLPATIENT $24 ,800.00 $0.00 $24,800.00 $0.00 $0.00 $0.00 $0.00 $24.800.00 201512 -22 3277 BILL PATIENT $21,710.00 $13, 199.77 $8 ,610.23 $0.00 $6,780.51 $0.00 $0.00 $1,729.72 2016.12 -28 3314 BILL PATIENT $26,200.00 $10,892.33 $14,307.67 $0.00 $13,243.52 $0.00 $0.00 $1,064.15 2015 -12 -28 3337 BILL PATIENT $21,710.00 $13 ,199.77 $8,510.23 $0.00 $8,780.61 $0.00 $0.00 $1,729.72 201512 -30 3361 BILL PATIENT $17,200.00 $10, 205.74 $6,994.26 $0.00 $5,572.67 50.00 $0.00 $1,421.59 201801 -01 13 1 BILL PATIENT $22, 600.00 $0.00 $22,600.00 $0.00 $22,450.00 $0.00 $0.00 $150.00 2018-01 -03 29 BILL PATIENT $24,800.00 $0.00 $24,800.00 $0.00 S0.00 $0.00 $0.00 $24,800.00 2016411.08 72 BILL PATIENT $21,350.00 $0.00 $21,350.00 $0.00 $21,350.00 $0.00 $430.20 $430.20 201801 -13 140 I BILL PATIENT $21, 110.00 $0.00 $21, 110.00 $0.00 $0.00 $0.00 $0.00 $21,110.00 201801 -14 151 BILL PATIENT $25,200.00 $15,399.02 $9,800.98 $0,00 $9,725.98 $0.00 $0.00 $75.00 2016-02-09 390 BILL PATIENT $25,200.00 $0.00 $26.200.00 $0.00 $25.050.00 $0.00 $0.00 $150.00 201802 -10 400 BILL PATIENT $23,100.00 $14,158.83 $8,941.17 $0.00 $8,866.88 $0.00 $0.00 $74.29 2016-02 -15 467 BILL PATIENT $24,800.00 $0.00 $24,800.00 $0.00 $20,948.80 $0.00 $0.00 $3,861.20 2016-02 -22 540 BILL PATIENT $20,220.00 $0.00 $20,220.00 $0.00 $20.220.00 $0.00 $0.00 $0.00 201803 -11 735 BILL PATIENT $21.710.00 $13 ,234.14 $8,475.86 $0.00 $7,614.50 $0.00 $0.00 5881.36 2018-03 -11 740 BILL PATIENT $20,300.00 $4,844.78 $15,455.22 $0.00 $15,455.22 $0.00 $0.00 $0.00 201803.13 770 BILL PATIENT $24,800.00 $0.00 $24,800.00 $0.00 $20,028.32 $0.00 $0.00 $4,771.68 2016-03.17 813 BILL PATIENT $20,220.00 $0.00 $20,220.00 $0.00 $0.00 $0,00 $0.00 $20,220.00 2018.03 -19 828 BILL PATIENT $24,800.00 $0.00 $24,800.00 $0.00 $0.00 $0.00 $0.00 $24,800.00 2018-03 -27 897 BILL PATIENT $20,30D.00 $0.00 $20, 300.00 $0.00 $0.00 $0.00 $0.00 $20,300.00 201804-03 987 BILL PATIENT $23,100.00 - - $0.00 $23,100.00 $ 0.00 $22,598.26 $0.00 $0.00 $501.75 RescueNetTm Printed on 9/26/2016 at 10:34:04AM ^ ^ - - - -- - Page 2 ":ROLL DATA SYSTEMSIRNDB IIREPORTS321BILLINGITRIP RELATEDICALLDETL7.RPT Page 2 of 4 rip uetau Kepon (current rayor) Trip Date IS BETWEEN 04/01/2014 AND 08/31/2016; AND Current Payor IS BILL PATIENT; AND Schedule IS RESIDENT WAIVER; AND Events IS Resident Waiver Approved Totals for Company: GLOBAL SKY AIRCHARTER CORP 80 $1,583,866:00.. $256,629.95 $1,828, 736.05 $0.00 $664,076.00 $0.00 $4,371.07 RescueNetTM Printed on 9/26/2016 at 10:34:04AM C:\ZOLL DATA SYSTEMS\RNDB\REPORTS32\BILLING \TRIP RELATED \CALLDETL7.RPT Page Page 3 of 4 Gross Conbactual Net Rswnua Balance Trip Date Rol Customer Currant Pavor C 60M AID Charcm AtllY4lments ma GLOBAL SKY AIRCHARTER CORP 2016.04-07 1020 BILL PATIENT $23, 100.00 $0.00 $23,100.00 $0.00 $0.00 $0.00 $0.00 $23,100.00 2016-04-08 1035 BILL PATIENT $21, 710.00 $0.00 $21,710.00 $0.00 $0.00 $0.00 $0.00 $21,710.00 2018-04.08 1040 BILL PATIENT $23, 100.00 $0.00 $23,100.00 $0.00 $21,617.50 $0.00 $0.00 $1,482.50 2016.04 -15 1123 BILL PATIENT $22,600.00 $0.00 $22,600.00 $0.00 $20,071.00 $0.00 $0.00 $2,529.00 2016.0417 1146 BILL PATIENT $21,350.00 $0.00 $21,350.00 $0.00 $0.00 $0.00 $0.00 $21,360.00 2018 -05-08 1288 BILL PATIENT $20,300.00 $12 ,295.03 $8,004.97 $0.00 $8,004.97 $0.00 $69.77 $69.77 20164515 1354 BILL PATIENT $25,200.00 $15,555.84 $9,644.16 $0.00 $7,683.96 $0.00 $0.00 $1,960.20 2016-0523 1418 BILL PATIENT $20,340.00 $12,322.76 $6 ,017.24 $0.00 $6,387.72 $0.00 $0.00 $1,629.62 2018-0524 1423 BILL PATIENT $16,660.00 $0.00 516,860.00 $0.00 $0.00 $0.00 $0.00 $16,680.00 2016-06.14 1611 BILL PATIENT $23, 100.00 $0.00 $23,100.00 $0.00 $0.00 $0.00 $0.00 $23,100.00 2016-08-16 1851 BILL PATIENT $23,100.00 $0.00 $23,100.00 $0.00 $0.00 $0.00 $0.00 $23,100.00 2016-08-26 1717 BILL PATIENT $25, 200.00 $0.00 $25,200.00 $0.00 $0.00 $0.00 $0.00 $25,200.00 2016-07 -15 1877 BILL PATIENT $23,100.00 $4,926.86 $18,173.12 $0.00 $4,376.96 $0.00 $0.00 $13,796.16 2018-07 -17 1900 BILL PATIENT $20,300.00 $0.00 $20, 300.00 $0.00 $0.00 $0.00 $0.00 $20,300.00 2016-0724 1962 BILL PATIENT $21,110.90 $0.00 $21,110.00 $0.00 $0.00 $0.00 $0.00 $21,110.00 Totals for Company: GLOBAL SKY AIRCHARTER CORP 80 $1,583,866:00.. $256,629.95 $1,828, 736.05 $0.00 $664,076.00 $0.00 $4,371.07 RescueNetTM Printed on 9/26/2016 at 10:34:04AM C:\ZOLL DATA SYSTEMS\RNDB\REPORTS32\BILLING \TRIP RELATED \CALLDETL7.RPT Page Page 3 of 4 EXHIBIT B (continued) Page 4 of 4 Exhibit A Monroe County Fire Rescue Trauma Star Resident Fee Waiver 2016 account Receivables Write -Off Trauma Star Statistics CALENDAR AUGUST YEAR 2009 2010 2011 2012 2013 2014 2015 2016 TOTAL TOTAL TRANSPORTS 168 203 234 314 304 308 276 341 2148 FEE WAIVERS 5 3 34 16 28 54 73 31 244 REVENUE COLLECTED FROM WAIVER $ 11,956.00 $ 15,503.68 $ 155,388.94 $ 87,292.56 $ 126,125.58 $ 345,981.09 $ 548,329.11 $ 262,450.06 $ 1,553,027.02 TRANSPORTS AMOUNT TO BE $ 54,424.00 $ 24,276.32 $ 294,411.06 $ 125,147.44 $ 225,474.42 $ 350,923.26 $ 382,793.66 $ 339,192.63 $ 1,796,642.79 WRITTEN OFF Page 1 of 1