Resolution 183-2015RESOLUTION NO. 183 -2015
A RESOLUTION BY THE MONROE COUNTY BOARD OF
GOVERNORS AMENDING RESOLUTION 114 -2014
REGARDING THE BONUS [FINANCIAL INCENTIVE]
PROGRAM FOR MONROE COUNTY FIRE RESCUE
BILLING CONTRACT EMPLOYEES TO CLARIFY THE
BASELINE COLLECTION TIME PERIOD.
WHEREAS, in February 2014, the Monroe County Board of County Commissioners
(`BOCC ") and the Board of Governors of Fire and Ambulance District No. 1 ( "Board of
Governors ") approved an employment agreement for the position of Billing Supervisor, in order to
bring the function of billing and collection for Monroe County Fire Rescue ground and air
ambulance runs in- house; and
WHEREAS, in April 2014, the BOCC and the Board of Governors approved an
employment agreement for the position of Billing Specialist, also for the purpose of bringing the
function of ambulance billing and collection in- house; and
WHEREAS, both employment agreements set a base salary for each position, and then
state that in lieu of any annual merit or cost -of- living adjustment, the employees will be eligible
for a financial lump sum incentive based upon billing and collections performance; and
WHEREAS, in July 2014, the BOCC passed Resolution 100 -2014 and the Board of
Governors passed Resolution 114 -2014 in order to establish a financial incentive program in order
to incentivize the employees to increase collections; and
WHEREAS, paragraph 4 of Resolution 114 -2014 stated that in the 12 months through
February 2014, excluding Medicaid, Monroe County had collected $2.3 million out of $6.8
million total billed by ADPI for combined ground and air ambulance runs, which translated to
33.7% of amounts billed; and
WHEREAS, it has come to the attention of staff that the 33.7% collection rate mentioned
in the paragraph above was based on fiscal year 2013 and not for past -l2- months ending February_
28, 2014 and staff wishes to correct this scrivener's error.
NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF GOVERNORS OF
MONROE COUNTY, FLORIDA, THAT
1. Paragraph 4 of Resolution 114 -2014 is revised to read as follows:
The average collection rate for air and ground ambulance combined during the - fiscal year
ending September 30 2013 not including Medicaid accounts was 33.70% ( "Baseline
Collection Rate ").
2. In all other respects, Resolution 114 -2014 is unchanged.
PASSED AND ADOPTED by the Board of Governors of Monroe County, this 15th day of
July 2015.
Representative, Norm Anderson
Representative, Clark Snow
Representative, Danny Kolhage
Representative, George Neugent
Representative, David Rice
Councilwoman Katie Scott
(SEAL)
ATTEST: AMY HEAVILIN, CLERK
Absent
Yes
Yes
Yes Representing Norm Anderson)
Yes
Yes
BOARD OF GOVERNORS OF FIRE AND
AMBULANCE DISTRICT 1 OF MONROE
COUNTY, FL
f 1i
Representative
MONROE COUNTY ATTORNEY
APPROVED AS TO FORM
C)
LL—
Uj
J
twi
N
4
Q
f-
�z
D9" K— by Cyn�u L. Hall
Y DN:cn A—e L. Monroe
cwnry Anomrys ante, euxwnry
A a
dm , email_ Ou
D-201 onrcecounly-flspv,c =us
Dace: xols ob xc c6:3osx —
4.
W
z
4:3 o
4
J C3
Z
Q
X
Assistant County Attorney
2
RESOLUTION NO. -2014
A RESOLUTION BY THE MONROE COUNTY BQARD OF. '
GORNORS SETTING UP A BONUS [FINANCIAL INCENTIVE)
PROGRAM - FUR MONROE COUNTY FIRE RESCUE BILLING
CONTRACT EMPLOYEES
WHEREAS, in February 2014, the Monroe County Board of County Commissioners
( "BOCC') and the Board of Governors of Fire and Ambulance District No. 1 ( "Board of
Governors ") approved an employment agreement for the position of Billing Supervisor, in order
to bring the function of billing and collection for Monroe County Fire Rescue ground and air
ambulance runs in- house; and
WHEREAS, in April 2014, the BOCC and the Board of Governors approved an
employment agreement for the position of Billing Specialist, also for the purpose of bringing the
function of ambulance billing and collection in- house; and
WHEREAS, both employment agreements set a base salary for each position; and
WHEREAS, both employment agreements then state that in lieu of any annual merit or
cost -of- living adjustment, the employees will be eligible for a financial lump sum incentive
based upon billing and collections performance; and
WHEREAS, the billing and collections functions were brought in -house by the BOCC
and the BOG in order to increase collections; and
WHEREAS, a portion of the salary for each of the two positions (Billing Supervisor and
Billing Specialist) is paid from the BOCC budget and a portion is paid by Board of Governors
budget, because air ambulance revenues are deposited into the BOCC budget and ground
ambulance revenues are deposited in the Board of Governors budget; and
WHEREAS, the BOCC and the Board of Governors wish to establish a financial
incentive program in order to incentivize the employees to increase collections; and
WHEREAS, Section 215.425, Florida Statutes, provides that any bonuses that will be
paid to employees for work already performed must be implemented through a policy, ordinance,
rule or resolution, which notifies the employees who will be eligible for the bonus in advance of
evaauation period of the performance standards and the evaluation process by which the bonus
will be awarded; and
WHEREAS, Section 409.913(l0), Florida Statutes, provides that payments for the
services of billing agents or persons participating in the preparation of a Medicaid claim shall not
be based on amounts for which they bill or on the amount the provider receives from Medicaid
(Note: only 3.6 percent (3.6 %) of Monroe County's collection revenues in the past twelve
months ending February 2014 came from Medicaid); and
Pagel of 3
X
G
WHEREAS, in the past 12 months excluding Medicaid, Monroe County collected $2.3
million for combined ground and air ambulance runs, which translates to 33.7% of amounts
billed before adjustments; and
WHEREAS, it is the intent of the legislative body to describe the financial incentive
program for Fire Rescue billing personnel through this resolution.
NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF GOVERNORS OF
MONROE COUNTY, FLORIDA, THAT
1. For the purpose of this resolution, the terms "bonus" and "financial incentive" are used
interchangeably,
2. For the purpose of this resolution, the term "Collections" refers to collections from all
sources not including Medicaid.
3. The initial time period covered by this financial incentive program for Billing Supervisor
and Billing Specialist shall run fiom May 1, 20I4 to April 30, 2015. Thereafter, each
year, the evaluation period ( "Evaluation Period ") shall run from May 1 to April 30.
4. The average collection rate for air and ground ambulance combined during the time
period Matc13, ?013 through February 28, OIA'`not including Medicaid accounts was
_ 33
70! (` Baselute olled ion Rate")
S. For every one (1) percentage point increase in Collections as a percentage of non-
Medicaid billed amounts over Baseline Collection Rate achieved by the end of the
Evaluation Period, each employee shall receive a one -time lump sum bonus ( "Bonus
Amount") in the amount of one percent (lA" /o) of the employee's unloaded base salary,
up to a maximum increase of ten percent (10 %) of the Baseline Collection Rate, which
will translate to a maximum bonus of ten percent (10%). By way of illustration, if
Collections increase from 33.70% at the beginning of the Evaluation Period to 38.70%
measured at the end of the Evaluation Period, which is an increase of five (5) percentage
points, each employee would receive a bonus in the amount of five percent (5 %) of the
unloaded base salary. Note, for the purposes of this illustration, a five percentage point
increase in collections would total approximately $340,000 in additional billing revenues
and would equate to a lump sum bonus of S5,300 for the two employees combined in the
first year.
6. The bonus amounts will be calculated one time annually, at the end of the Evaluation
Period. The bonus amounts will not be added to the base salary and will not be used for
computing average weekly wage for any other purpose, including but not limited to FRS,
unemployment or workers' compensation.
7. The bonus amounts shall be paid by the BOCC and the BOG in proportion to the amounts
collected by and for each entity at the end of the Evaluation Period. Each bonus program
must be approved by the BOCC and the BOG. K for any reason, the bonus program is
not approved by resolution by both entities, then each entity will be responsible for
Page 2 of 3
N
Yes
Yes
Yes
Yes
Yes
8. This bonus program shall continue from year to year until revised by the BOCC and shall
apply to whatever personnel hold the position of Billing Supervisor and Billing
Specialist. In subsequent years, the starting point, i.e., the Baseline Collection Rate, shall
be the collection rate for the preceding twelve months, i.e., May I to April 30.
9. To be eligible for the bonus, the employee must be employed by Monroe County on the
day that the Bonus Amount is paid out, following the end of the Evaluation period.
PASSED AND ADOPTED by the Board of Governors of Monroe County, this 11 day of
,June 2014.
Representative, Norm Anderson
Representative, Clark Snow
Representative, Danny Kolhage
Representative, George Neugent
Representative, David Rice
Paying its portion of the Bonus Amount, i.e., the total Bonus Amount, multiplied by the
percentage of Collections attributable to ground ambulance (in the case of the Board of
Governors) or air ambulance (in the case of the BOCC).
AMY HEAVILIN, CLERK
a
Deputy Clerk
STATE OF FLORIDA
COUNTY OF MONROE
This Copy B a Tare Copy ortbe
Original on Fite to thb Orybe, Wlt"M
any hand ned anicial SeaE
Thi 7th
A.M. ZO 1 L
AMY HEA ILIN
Clerk Circuit c oo t
s_y = Y_.
BOARD OF GOVERNORS OF FIRE AND
AMBULANCE DISTRICT I OF MONROE
COUNTY, FL
Chairman
MONROE COUNTY ATTORNEY
A RO Ep S O FORM:
Page 3 of 3 -Uy Ulm
Y HIA I_. ALL
ASSISTANT COUNTY ATTORNEY
Date t' -14— ?.01 f