Resolution 158-2017RESOLUTION NO. 158 -2017
A RESOLUTION BY THE MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS RESCINDING
RESOLUTIONS 100 -2014 AND 182 -2015 AND SETTING
FORTH THE REVISED BONUS [FINANCIAL INCENTIVE]
PROGRAM FOR 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 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, in July 2015 the BOCC passed resolution 182 -2015 to clarify the baseline
collection time period; and
WHEREAS, staff desires to revise the financial program in order to define net
collections, and to specify that net collections will be used to measure billing collection
performance.
NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF
COMMISSIONERS OF MONROE COUNTY, FLORIDA, THAT:
Section 1. Resolutions 100 -2014 and 182 -2015 are hereby rescinded in their entirety.
Section 2. Monroe County Bonus Program
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. For the purpose of this resolution, the term "Net Collections" refers to gross
collections from all sources not including Medicaid, net of all non - collectable
(mandatory) contractual allowances, refunds, and the write -off portion of Trauma Star
resident waivers.
4. For the purpose of this resolution, and calculation of the bonus award, the transition
from the previous performance standard and evaluation process to the standard set
forth in this resolution shall occur on July 1, 2017.
5. To account for the transition from the previous Financial Incentive Resolution
Program to this revision, the transitional evaluation time period used to calculate the
bonus award employing the previous performance standard and evaluation process set
forth in Resolution 100 -2014 and 182 -2015 shall run from May 1 2015 to June 30,
2017. Thereafter, each year, the evaluation period ( "Evaluation Period ") shall run
from July 1 to June 30.
6. The average collection rate for air and ground ambulance combined during the fiscal
year ending September 31, 2013, not including Medicaid accounts was 33.70%
( "Baseline Collection Rate ").
7. 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 (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 %). 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
$5,300 for the two employees combined in the first year.
8. 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. The bonus amounts will be paid to
the eligible employees within 45 days of the closeout of the evaluation period.
9. 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. If, for any reason, the
bonus program is not approved by resolution by both entities, then each entity will be
responsible for 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).
10. This bonus program shall continue from year to year until revised by the BOCC and
shall apply to proprietary function bill collections and whatever personnel hold the
position of Billing Supervisor and Billing Specialist. In subsequent years, percentage
increase in Net Collections shall be used in comparison to the Baseline Collection
Rate, and shall be the collection rate for the preceding twelve months, i.e., July 1 to
June 30.
11. If an employee who is eligible to receive a financial incentive award transfers out of
or otherwise leaves the award eligible position prior to the end of the evaluation
period the bonus awarded to such employee shall be prorated in proportion to the
period employed within the evaluation period. In order to be eligible for the prorated
portion of the bonus the employee must be in good standing with Monroe County as
of the date the employee transfers, terminates or is terminated from employment. The
final determination as to whether an employee is not eligible to receive the award
shall be made by the Board of County Commissioners.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
this ZIA day of June 2017.
Mayor George Neugent
Mayor Pro Tem David Rice
Commissioner Danny Kolhage
.-,.Commissioner Heather Carruthers
Cbxr issioner Sylvia Murphy
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BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORII
BY
Mayor George Neugent