Item H3
BOARD OF GOVERNORS
LOWER AND MIDDLE KEYS FIRE AND AMBULANCE DISTRICT
AGENDA ITEM SUMMARY
Bulk Item: Yes
No X
Division: Public Safety
Department: Emergency Medical Services
Meeting Date: March 21-22.2001
AGENDA ITEM WORDING: Approval of Resolution authorizing the write off of EMS Accounts
Receivable, in behalf of Steven Murphy, in the amount of $352.61
ITEM BACKGROUND: On March 29, 2000, Mr. Murphy attempted to go from the office of his
physician to Fishermen's Hospital, for treatment of an allergic reaction. However, because of the major
fire that day at the Buccaneer Lodge, the road was blocked and traffic on US 1 was limited to emergency
vehicles only. He was forced to use an ambulance to get to the emergency room, even though his medical
condition did not warrant it. Mr. Murphy has requested that his bill be waived because of the extenuating
circumstances. The County Attorney's Office suggested that we bill Mr. Murphy the mileage charge only,
in the amount of $28.56. This charge would cover the cost of the basic transportation, as the patient did
not require any assistance from the EMS personnel.
PREVIOUS RELEVANT BOG ACTION: None
STAFF RECOMMENDATION: Approval
TOTAL COST:
COST TO COUNTY:
REVENUE PRODUCING: Yes
BUDGETED: Yes
No
No
AMOUNT PER MONTH
APPROVED BY: County Attorney YES OMB/Purchasing N/ A Risk Management N/ A
DMSION DIRECTOR APPROVAL:
DOCUMENTATION: Included: X
To Follow: - Not Required: - , _ H -3
F~tj-40~-\Ol J\O;J.:;j rt<U(",I;I"'IUNKU~ l....UUN.1. 1-'\.1.l. Ulrl.'-L. '6.J....)IlU~~;:JI~...)O,.l,U
Emergency Medical Services
RESOLUTION NO. -1001
A RESOLUTION OF THE BOARD OF GOVERNORS OF THE
LOWER AND MIDDLE KEYS FIRE AND AMBULANCE
DISTRICT OF MONROE COUNTY, FLORIDA
AUmORIZING THE WRITE-OFF OF EMS ACCOUNTS
RECEIVABLE
WHEREAS, Monroe County Emergency Medical Services provides ambulance sefVice; and
WHEREAS, the below named service recipient only utilized an ambulance because the road
was blocked due to a major fire in Marathon, allowing only emergency vehicles to travel on US I; and
WHEREAS, the service recipient needed to get to Fishermen's Hospital for treaUOent of an
allergic reaction, but an ambulance was otherwise not necessary for his condition; and
WHEREAS, it is desired to write off the account receivable because patient was required to use
an ambulance although his medical condition did not warrant it; now, therefore
BE IT RESOLVED BY TIIE BOARD OF GOVERNORS 1HE LOWER AND MIDDLE
KEYS FIRE AND AMBULANCE DISTRICT OF MONROE COUNTY, FLORIDA:
Stephen Murphy's account receivable in the amount of$352.61 be deleted from the County's
Emergency Medical Services Department accounts receivable list, and he be responsible for the
mileage charge only, in the amount of$28.56.
PASSED AND ADOPTED by the Board of Governors of the Lower and Middle Keys Fire and
Ambulance District of Monroe County, Florida, at a regular meeting of said Board held on the
day of > 2001.
Chairperson Yvonne Harper
Mayor George Neugent
Commissioner Nora Williams
Commissioner Murray Nelson
Commissioner Dixie Spehar
(SEAL)
BOARD OF GOVERNORS OF THE
LOWER AND MIDDLE KEYS FIRE AND
AMBULANCE DISTRICT OF
OF MONROE COUNlY, FLORIDA
Attest: DANNY L.KOLHAGE, Clerk
By:
Mayor/Chairperson
By
Deputy Clerk
STATEMENT
DATE 11/0:3/00
~5030"/ 4 ....01
MONROE COUNTY EMS
PU BOX: 02601:1.
MIAMI, F.L 33:1.02-6011
ACCOUNT
NUMBER ~.'j()~I074"'.Ol
AMOUNT PAID $
UUR PHUNE NUMBER IS.
:1. ....BOO....4:1. /....216~:.'j
MAKE CHECKS PAYABLE IN U.S. DOLLARS TO:
!:;.rE PHFN MU r~ PH'(
PU BOX 10B~;5
LONG KEY, FL 33001
MUNRUE COUNTY EMS
PO BOX: 0;:1.(:)011
MIAMI, FL 33102-6011
TO INSURE PROPER CREDIT TO YOUR ACCOUNT. PLEASE DETACH AND RETURN THIS STUB WITH YOUR CHECK
PATIENT NAME: ~:ITEPHEN MURPHY
PHONE NUMBER: ~:10~.:j"..664.".;?f:16;.:.)
REFERRING DR.:
PLACE OF SERVICE:
FH
3/29/00 FIRE RESCUE TRANSPORT
MILFAGE CHc~RGE
4.0 (\1 jl; 7.:1.4
3~.'j;;>'. 61
;;? El . ~;:i 6
*, *******.*. ......................*.....***...*.***...**..***.******...*.*****.**
I r::. ''''-OU f. AI)E MED I C(.~ RE, MED ICA I D, U I~ ANY PR 1 VATE 1 N~:IUFI. NCE . . . .A.
./0:
:I.. PLE(SE CALL US, OR COMPLETE THE INSURANCE FURM U THE FRUNT (.ND BACK *
U F .. HIS S T (.~ T E MEN T. A C CJ P Y (] F '( U U R H E (.~ I... T H I N ~:; U R (.~ N ( . [: C (~ R n I!:; HE: L P r:: U L , ./0:
./0:
:::.>. MAlI. IT BPICK TO US IN THE L..JHITE ENlyJELOPE PI~OI)IDEII AND L.JE WILl.. FILE (.~ ..01..
CLA1M UN YOUR BEHALF. *
"J':
IF YOU 1:0 NOT HI~I)E MEDICc~FIE, ME[)ICI~I[), Ol~ (.~NY PRII)C;TE: IN!:;UFlc;NCE, ./0:
PI._EA~3E~: FAY 'T'~IE: AM(:Jl.JN"'" INI)]:CA'r'E~(:), J:)AYME~:N'I. F)l_AN~; (::AN 131~. Af~I~AN(31~:f:) "fO( ASS1:S"r" *
YOU BY CONTACTING OUR OFFICE AT :I.-BOO-417-2165. ·
1* 00 NOT MAIL CASH *. ·
*~*********. *********************.***********.**********. ***********,.**********
PAY
THIS
AMOUNT
~:lEn . 1. 7
PRINT YOUR MEDICARE NUMBER HERE
MEDICAID #
PRINT YOUR HOME PHONE NUMBER HERE
BUSINESS PHONE #
IF YOU HAVE INSURANCE OR PARTICIPATE IN ANY PROGRAM WHICH WILL PAY FOR
THESE SERVICES. PLEASE COMPLETE AND SIGN THE REVERSE SIDE OF THIS BILL AND
RETURN IN THE ENCLOSED ENVELOPE.
IF THERE IS ANY PROBLEM REGARDING THE PAYMENT OF THIS BILL. CONTACT OUR
OFFICE AT ( 1 .... BOO.... 4 1 "/ .... ;;.) 1 6 ~:.'i ) WITHIN 5 DAYS TO MAKE ARRANGEMENTS
PLEASE SHOW ACCOUNT NUMBER ON ALL CHECKS.
IMPORTANT YOU MUST SIGN REVERSE SIDE TO RECEIVE INSURANCE PAYMENT
ACCOUNT I "50:::1074....0:!.
NUMBER "
Stacy DeVane, Executive Assistant
Public Safety Division
Suzanne A. Hutton, Assistant County Attorney ~
December 11, 2000
o~~!" 3"'~~E
(30S12ll<l~'
Office of the County Attorney
PO Box 1026
Key West, FL 33041-1026
305/292-3470 - Phone
305/292-3516 - Fax
TO:
FROM:
DATE:
BOARD OF COUNTY COMMISSIONERS
Mayor George Neugent, District Z
Mayor Pro tern Nora Williams, District 4
Charles McCay. District 3
Murray Nelson, District 5
Dixie Spehar, District 1
.
MEMORANDUM
~ . l ~1.[!A~
RE:
Bankruptcy Notices.
With regard to your December 6th memo please be advised that the Notices
of Discharge of Debtor for Susan Atkinson and Erik Geele indicate that we are
going to have to write those particular debts off. The Notice of Chapter 7
Bankruptcy case for Frank Lichtenstein merely needs to be held on file. I will
retain the copy which you sent in our records.
Regarding your December 6th memo asking for advice on a records
subpoena pertaining to Kathleen Dante and Albert Kryger, the attorney needs to
be advised that under Section 395.3025(4)(d), Florida Statutes, your records are
confidential and can only be released upon issuance of subpoena and proper
notice by the party seeking the records of the patient. Under Florida Rules of
Civil Procedure 1.351, the attorney is required to provide us with certification that
proper notice was served on the party (ies) and that no objection was received
from same.
Please call if you have any additional questions.
Regarding your December 4th memo concerning IrisYadira Fernandez, you
may send records to James G. Gilmour and/or Cindy Post Massion at Museum
Tower, Suite 2800, 150 West Flagler Street, Miami FL 33130. They have
provided us with appropriate documentation. However Edward Hernandez of the
Law office of Parenti, Falk, Waas, Hernandez & Cortina, 113 Almeria Avenue,
Coral Gables, FL 33134, still needs to provide us with the Certificate of Non-
objection.
Regarding Steven Murphy, the subject of your December 4th memo, I would
suggest that you draw up a resolution for the County Commission to approve
writing off the debt. Perhaps. you sho.uld write-off $352.61 and leave the mileage
charge of $28.56. That would at least cover the basic cost of the transportation
since it does not appear from Mr. Murphy's letter that he actually needed any
kind of assistance from the EMS Technicians.
You can only write this off!f the County Commission approves it and I would
include a copy of the October 19th letter as well as the statement as backup for.
the resolution.
If you have any additional questions, please feel free to call.
SAH/ak
2