Item G2BOARD OF COUNTY COMMISSIONERS
C ounty of M onroe A(I Mayor George Neugent, District 2
IleOrlda Keys 4� �� m Mayor Pro Tem David Rice, District 4
l Danny L. Kolhage, District I
„ Y
„; ° W Heather Carruthers, District 3
Sylvia J. Murphy, District 5
County Commission Meeting
June 21, 2017
Agenda Item Number: G2
Agenda Item Summary #2792
BULK ITEM: Yes DEPARTMENT: Fire & Ambulance District 1 Board of
Governors
TIME APPROXIMATE: STAFF CONTACT: Gary Boswell (305) 289 -6004
9:30 A.M. BOARD OF GOVERNORS
AGENDA ITEM WORDING: Approval to award the annual lump sum bonus to the Billing
Supervisor in the amount of 10% of her unloaded base salary. This bonus is based upon an average
collection rate of 53.45% for air and ground ambulance charges for the second year evaluation
period from May 1, 2015 to April 30, 2016, as compared to the previous vendor's Baseline
Collection Rate of 33.70 %. In accordance with the resolution authorizing this bonus, this is to be
paid in the amount of one percent (1.0 %) 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 %).
ITEM BACKGROUND: In December 2013, the BOCC authorized Monroe County Fire Rescue to
bring EMS billings and collections in -house utilizing contract employees. In lieu of wage
adjustments given to other county employees, the employment contracts specify that they will
receive an annual bonus payment based upon improved billing and collections performance.
PREVIOUS RELEVANT BOG ACTION: In accordance with State Statute 215.425, which
provides that any bonuses that will be paid to employees must be implemented through a policy,
ordinance, rule or resolution, at the June 11, 2014 BOCC meeting, the BOCC passed Resolution
100 -2014 and the BOG passed Resolution 114 -2014 establishing a financial incentive program in
order to incentivize billing employees to increase collections. In earlier action at this meeting, these
resolutions have been rescinded by a resolution to establish a revised Financial Incentive Program
for Monroe County Fire Rescue Billing Contractual Employees. Total Cost: $5,781.10.
CONTRACT /AGREEMENT CHANGES:
Lump sum bonus pending approval of BOCC 42787/BOG 42789 resolution revising finanical
incentive program
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
BOG - Collections - 5.01.15 tru 4.30.16
FINANCIAL IMPACT:
Effective Date: June 21, 2017
Expiration Date: Ongoing
Total Dollar Value of Contract: $5,781.10
Total Cost to County: $5,781.10
Current Year Portion: $5,781.10
Budgeted: Yes
Source of Funds: 141 -11500 and 101 -11001
CPI: N/A
Indirect Costs: N/A
Estimated Ongoing Costs Not Included in above dollar amounts: N/A
Revenue Producing: Yes
Grant: N/A
County Match: N/A
Insurance Required: N/A
If yes, amount: Varied
Additional Details:
04/12/17
78%
04/12/17
22%
Total:
REVIEWED BY:
Gary Boswell
James Callahan
Pedro Mercado
Budget and Finance
Kathy Peters
Board of County Commissioners
101 -11001 - MEDICAL AIR TRANSPORT
141 -11500 - FIRE & RESCUE CENTRAL
$4,509.26
$1,271.84
$5,781.10
Completed
Completed
Completed
Completed
Completed
Pending
05/15/2017 3:18 PM
05/15/2017 3:22 PM
05/15/2017 9:47 PM
05/16/2017 10:02 AM
05/16/2017 12:45 PM
06/21/2017 9:00 AM
IN HOUSE COLLECTION RATES
MAY 2015 - APRIL 2016 (12 MONTHS)
CHARGES
May -15
May -15
Jun -15
Jul -15
Aug -15
Sep -15
Oct -15
Nov -15
Dec -15
Jan -16
Feb -16 Mar -16
Apr -16
Total Charges
GROUND CHARGES
$
104,877.20 $
113,139.20
$ 108,845.60
$ 97,362.00
$ 94,446.40
$ 104,707.60
$ 112,118.40
$ 104,255.20
$ 126,862.40
$ 133,155.20 $ 132,006.80
$ 115,344.40
$ 1,347,120.40
AIR CHARGES
$
347,176.00 $
496,916.00
$ 394,228.00
$ 425,888.00
$ 384,296.00
$ 156,256.00
$ 551,824.00
$ 1,002,230.00
$ 872,960.00
$ 926,250.00 $ 1,034,250.00
$ 1,086,880.00
$ 7,679,154.00
TOTAL CHARGES
$
452,053.20 $
610,055.20
$ 503,073.60
$ 523,250.00
$ 478,742.40
$ 260,963.60
$ 663,942.40
$ 1,106,485.20
$ 999,822.40
$ 1,059,405.20 $ 1,166,256.80
$ 1,202,224.40
$ 9,026,274.40
248,042.40
Total Medicaid Deposits
$
52,987.52
Total Charges
$
9,026,274.40
Total Deposits
Medicaid Charges Air
3,494,692.14
$ (194,564.00)
53.45%
Medicaid Charges Ground
$ (53,478.40)
Non- Medicaid Charges
$ 8,778,232.00
GROSS DEPOSITS NON - MEDICAID
May -15
Jun -15
Jul -15
Aug -15
Sep -15
Oct -15
Nov -15
Dec -15
Jan -16
Feb -16
Mar -16
Apr -16
TOTAL
GROUND
AIR
$ 72,012.34
$ 232,071.86
$ 59,385.48
$ 165,383.98
$ 62,354.63
$ 279,434.71
$ 42,065.64
$ 239,865.84
$ 43,161.79 $
$ 182,047.09 $
44,983.22
203,378.91
$ 51,323.37 $
$ 164,850.23 $
51,718.61
197,810.41
$ 48,614.86
$ 282,432.44
$ 62,034.28
$ 256,486.27
$ 74,235.09
$ 365,778.41
$65,572.55 $
$194,702.61 $
677,461.86
2,764,242.76
TOTAL
$ 304,084.20
$ 224,769.46
$ 341,789.34
$ 281,931.48
$ 225,208.88 $
248,362.13
$ 216,173.60 $
249,529.02
$ 331,047.30
$ 318,520.55
$ 440,013.50
$260,275.16 $
3,441,704.62
GROSS MEDICAID DEPOSITS
May -15
Jun -15
Jul -15
Aug -15
Sep -15
Oct -15
Nov -15
Dec -15
Jan -16
Feb -16
Mar -16
Apr -16
TOTAL
GROUND
AIR
$ 1,880.74
$ 2,772.00
$ 628.14
$ 1,543.20
$ 2,684.18
$ 9,106.24
$ 1,389.98
$ 1,668.00
$ 1,211.16 $
$ 4,240.00 $
2,450.00 $
3,356.15 $
666.81 $
1,528.00 $
2,585.83
1,512.00
$ 369.75
$ 1,968.15
$ 1,474.19
$ 2,943.73
$ 1,146.66
$ 3,727.75
$ 934.86 $
$ 1,200.00 $
17,422.30
35,565.22
TOTAL
$ 4,652.74
$ 2,171.34
$ 11,790.42
$ 3,057.98
$ 5,451.16 $
5,806.15 $
2,194.81 $
4,097.83
$ 2,337.90
$ 4,417.92
$ 4,874.41
$ 2,134.86 $
52,987.52
Non - Medicaid Charges Air
$
7,484,590.00
Non- Medicaid Deposits Air
$
2,764,242.76
Non - Medicaid Charges
$
8,778,232.00
Non - Medicaid Charges Ground
$
1,293,642.00
Non - Medicaid Deposits Ground
$
677,461.86
Non - collectable Allowances
$
(2,042,519.95)
Total Non - Medicaid Charges
$
8,778,232.00
Total Non - Medicaid Deposits
$
3,441,704.62
Trauma Star Resident Waivers
$
(296,372.24
Net Charges
$
6,439,339.81
Medicaid Charges Air
$
194,564.00
Medicaid Deposits Air
$
35,565.22
Medicaid Charges Ground
$
53,478.40
Medicaid Deposits Ground
$
17,422.30
Gross (non- Medicaid) Deposits
$
3.,441,704.62
Total Medicaid Charges
$
248,042.40
Total Medicaid Deposits
$
52,987.52
Total Charges
$
9,026,274.40
Total Deposits
$
3,494,692.14
Collection Rate
53.45%
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A
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Attachment: BOG - Collections - 5.01.15 tru 4.30.16 (2792 : Billing Supervisor Bonus)