Item F08M
C ounty of f Monroe
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BOARD OF COUNTY COMMISSIONERS
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Mayor George Neugent, District 2
The Florida. Ke Se
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Mayor Pro Tern David Rice, District 4
Danny L. Kolhage, District I
Heather Carruthers, District 3
Sylvia J. Murphy, District 5
County Commission Meeting
November 14, 2017
Agenda Item Number: F.8
Agenda Item Summary #3498
BULK ITEM: Yes DEPARTMENT: Emergency Services
TIME APPROXIMATE: STAFF CONTACT: James Callahan (305) 289 -6088
N/A
AGENDA ITEM WORDING: Approval of Resolution authorizing the write -off of 124 Fire
Rescue air ambulance accounts receivable for CY 2013, totaling $951,673.39 from Fire and
Forfeiture Fund. In CY 2013, we collected $1,957,270.93 and deposited into accounts receivable.
ITEM BACKGROUND: Monroe County contracted with Advanced Data Processing Inc.,
(ADPI) for air ambulance billing in 2013. After 210 days of inactivity with ADPI, outstanding
accounts are then placed with the collection agency, Municipal Services Bureau. Three years from
the date of incident, Monroe County Finance Department administratively writes -off these debts
after BOCC resolution. The attached Resolution authorizes the write -off of the balances of 124
accounts totaling $951,673.39, which represents the one -year period from January 1, 2013 through
December 31, 2013 (see attached Exhibit A). These debts represent accounts determined to be
uncollectable due to a multitude of reasons, including insurance paying the maximum allowable;
the service recipients are deceased with no available funds in the estate; bankruptcy; a minor with
no parent or guardian found; uncollectible balances of Medicaid/Medicare; HMO balances; patient
financially indigent (homeless); foreign address; and /or refusals to pay. Even though these
accounts are administratively written off for accounting purposes, the collection agency continues
to attempt collection on these accounts.
PREVIOUS RELEVANT BOCC ACTION: On August 18, 2010 Resolution No. 223 -2010
authorized the write off -of Fire Rescue air ambulance account receivables totaling $35,260.00 for
CY 2006. On September 21, 2011 Resolution No. 249 -2011 authorized the write -off of Fire Rescue
air ambulance account receivables totaling $780,782.79 for CY 2007. The CY 2008 write offs
totaled $825,000.90. On November 20, 2013 Resolution No. 386 -2013 authorized the write off of
Fire Rescue air ambulance account receivables totaling $529,737.14 for CY 2009. For CY 2010
there were 77 accounts written off totaling $821,273.31. On November 17, 2015 Resolution 385-
2015 authorized the write -off of air ambulance accounts totaling $875,822.46 for CY 201 lwere
written off. On November 22, 2016 Resolution 282 -2016 authorized the write -off of air ambulance
accounts totaling 944,259.60 for CY 2012.
CONTRACT /AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
Resolution for Air Ambulance Write Offs
EXHIBIT A
FINANCIAL IMPACT:
Effective Date:
Expiration Date:
Total Dollar Value of Contract:
Total Cost to County:
Current Year Portion:
Budgeted:
Source of Funds:
CPI:
Indirect Costs:
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing: If yes, amount:
Grant:
County Match:
Insurance Required:
Additional Details:
N/A
REVIEWED BY:
Gary Boswell
Completed
10/24/2017 10:08 AM
Pedro Mercado
Completed
10/24/2017 11:14 AM
James Callahan
Completed
10/24/2017 3:44 PM
Budget and Finance
Completed
10/25/2017 8:20 AM
Maria Slavik
Completed
10/25/2017 8:44 AM
Kathy Peters
Completed
10/25/2017 9:43 AM
Board of County Commissioners
Pending
11/14/2017 9:00 AM
RESOLUTION NO. -2017
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA AUTHORIZING THE WRITE -OFF OF
TRAUMA AIR AMBULANCE ACCOUNTS RECEIVABLE
FOR CALENDAR YEAR 2013
WHEREAS, Monroe County Fire Rescue Services provides air ambulance service; and
WHEREAS, the Board of County Commissioners of Monroe County contracted with Advanced Data
Processing, Inc. (ADPI) for Rescue Ambulance Billing and Related Professional Services in 2013; and
WHEREAS, after 210 days of billing, accounts are placed with Municipal Services Bureau, a collection
agency, to further attempt collection; and
WHEREAS, once a period of 4 years from the date of the billable incident has elapsed, and all efforts of
collecting the debt have been exhausted, Monroe County Finance Department directs the write -off of these debts; and
WHEREAS, a report was provided by Municipal Services Bureau on accounts that met the above criteria,
and were deemed uncollectible, for the time period of January 2013 through December 2013; and
WHEREAS, a report was provided by Advanced Data Processing, Inc. on accounts that it was determined
that further collection efforts are fruitless as insurance has paid the maximum allowable on these claims, and the
service recipients are now either deceased with no available funds in the estate, in bankruptcy, a minor with no parent
or guardian found, have uncollectible balances of Medicaid/Medicare, and/or have small exceptions balances for the
time period of January 2013 through December 2013.
WHEREAS, it is desired that these uncollectible 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, FLORIDA:
Receivables for air ambulance service accounts listed on attached Exhibit A in the amount of $951,673.39
shall be deleted from the Fine and Forfeiture Fund.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida, at a regular
meeting of said Board held on the 14t' day of November, 2017.
Mayor
Mayor Pro Tem
Commissioner
Commissioner
Commissioner
(Seal)
ATTEST: KEVIN MADOK
By:
Deputy Clerk
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By:
Mayor / Chairman
MONROE COUNTY ATTORNEY:
By:
Pedro Mercado
EXHIBIT A
Monroe County Fire Rescue
Air Ambulance (Trauma Star)
CY 2013 Account Receivable Write Offs
TRAUMA STAR ACCOUNTS WITH MSB
(DOS: 01/01/2013 - 12/31/2013)
ACCOUNT NUMBER
DATE OF SERVICE
BALANCE
14892042
2/18/2013
$10,060.00
14939301
2/22/2013
$10,300.00
15010736
2/27/2013
$9,740.00
15079170
3/11/2013
$10,460.00
15297081
3/29/2013
$12,140.00
15421458
4/8/2013
$16,060.00
15469116
4/17/2013
$13,420.00
16049266
6/11/2013
$12,060.00
16276261
7/4/2013
$13,820.00
14553128
1/18/2013
$169.06
Sub Total
1/22/2013
$108,060.00
14652719
1/23/2013
$12,940.00
TRAUMA STAR ACCOUNTS WITH ADPI
(DOS: 01/01/2013 - 12/31/2013)
ACCOUNT NUMBER
DATE OF SERVICE
BALANCE
14821010
1/1/2013
$1,667.34
14417053
1/1/2013
$12,700.00
14417051
1/4/2013
$50.00
14460827
1/5/2013
$1,371.46
14460826
1/7/2013
$12,860.00
14821012
1/8/2013
$1,176.00
14821011
1/8/2013
$1,608.03
14821013
1/9/2013
$9,036.00
14519260
1/16/2013
$15,900.00
14553128
1/18/2013
$169.06
14584561
1/22/2013
$15,660.00
14652719
1/23/2013
$12,940.00
14748993
1/29/2013
$9,420.00
14748989
2/4/2013
$2,668.00
14786665
2/10/20131
$12,060.00
14794822
2/11/2013
$15,980.00
14810816
2/13/2013
$1,327.48
14892043
2/19/2013
$1,599.37
14939300
2/23/2013
$241.96
15010738
2/27/2013
$7,440.00
15010741
3/2/2013
$0.54
15010740
3/3/2013
$381.81
15010739
3/3/2013
$5,975.91
15041116
3/6/2013
$1,371.46
15070048
3/7/2013
$15,740.00
15070049
3/9/2013
$12,860.00
15079169
3/11/2013
$100.63
15183127
3/12/2013
$10,369.54
15183121
3/19/2013
$250.00
15183123
3/21/2013
$1,930.57
15297075
3/30/2013
$1,371.46
15297077
3/30/2013
$12,140.00
15297073
4/1/2013
$13,260.00
15354218
4/5/2013
$7,700.00
15354215
4/7/2013
$1,817.28
15421451
4/11/2013
$10,300.00
15469121
4/16/2013
$12,060.00
15469115
4/17/2013
$250.00
15469117
4/18/2013
$1,231.10
15748460
5/13/2013
$10,300.00
15748461
5/13/2013
$10,300.00
15852016
5/22/2013
$1,087.92
15852017
5/23/2013
$1,691.11
15991408
6/4/2013
$12,860.00
15991404
6/5/2013
$8,456.80
15991405
6/6/2013
$1,500.74
16049269
6/10/2013
$14,380.00
16049270
6/10/2013
$15,740.00
16049267
6/11/2013
$9,244.00
16085482
6/16/2013
$327.22
16196357
6/27/2013
$15,180.00
16196359
6/29/2013
$200.00
16196360
6/29/2013
$9,394.80
16276258
7/7/2013
$15,660.00
16309771
7/11/2013
$12,140.00
16359570
7/12/2013
$2,761.84
16497995
7/24/2013
$9,127.78
16497991
7/29/20131
$3,746.42
16497993
7/30/20131
$1,400.00
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16497992
7/30/2013
$2,000.00
16584170
8/2/2013
$10,700.00
16584166
8/3/2013
$998.00
16584172
8/3/2013
$2,952.86
16584168
8/4/2013
$13,049.45
16606648
8/8/2013
$1,923.90
16633195
8/9/2013
$4,448.00
16643603
8/12/2013
$12,220.00
16678483
8/14/2013
$1,599.37
16894155
8/19/2013
$12,924.00
16894156
8/20/2013
$1,050.92
16921211
8/24/2013
$10,700.00
16921212
8/24/2013
$15,740.00
17000585
8/28/2013
$6,890.64
17013142
9/2/2013
$14,700.00
17107492
9/12/2013
$1,364.79
17107493
9/12/2013
$6,656.00
17134876
9/13/2013
$15,660.00
17146363
9/15/2013
$6,416.00
17155987
9/16/2013
$250.00
17230058
9/20/2013
$9,260.00
17230057
9/22/2013
$1,390.78
17215985
9/23/2013
$1,371.46
17433803
10/15/2013
$1,823.94
17491512
10/18/2013
$3,196.00
17522226
10/20/2013
$9,260.00
17547531
10/23/2013
$15,740.00
17547533
10/26/2013
$280.00
17547532
10/26/2013
$4,448.00
17567407
10/28/2013
$954.08
17567406
10/29/2013
$10,355.96
17625560
11/1/2013
$13,260.00
17613159
11/2/2013
$12,060.00
17625561
11/4/2013
$15,420.00
17648410
11/6/2013
$1,923.90
17658989
11/7/2013
$6,656.00
17658988
11/7/2013
$15,980.00
17693230
11/8/2013
$9,200.00
17793344
11/20/2013
$10,060.00
17837226
11/23/2013
$15,180.00
17852339
11/26/2013
$9,980.00
17865373
11/27/2013
$1,646.63
17865372
11/27/2013
$10,940.00
17937686
11/30/2013
$9,340.00
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17865371
11/30/2013
$12,060.00
17937684
12/3/2013
$9,260.00
17937683
12/3/2013
$11,980.00
17937680
12/5/2013
$13,020.00
17937681
12/5/2013
$13,340.00
17937682
12/5/2013
$13,340.00
17983678
12/11/2013
$1,930.57
18051490
12/15/2013
$9,660.00
18051489
12/16/2013
$1,364.79
18103586
12/18/2013
$12,140.00
18103584
12/23/2013
$4,923.72
18132577
12/24/2013
$8,140.00
Sub Total
$843,613.39
TOTAL
$951,673.39
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