Item C01M
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 1
Heather Carruthers, District 3
Sylvia J. Murphy, District 5
County Commission Meeting
July 19, 2017
Agenda Item Number: C.1
Agenda Item Summary #3007
BULK ITEM: Yes DEPARTMENT: Fire
TIME APPROXIMATE: STAFF CONTACT: Gary Boswell (305) 289 -6004
N/A
AGENDA ITEM WORDING: Approval to award the annual lump sum bonus to the Billing
Supervisor and Billing Specialist in the amount of 10% of their unloaded base salaries for evaluation
period July 1, 2016 to June 30, 2017. This bonus is based upon an average collection rate for air and
ground ambulance charges in accordance with the resolution authorizing this bonus, to be paid in the
amount of one percent (1.0 %) of the employee's unloaded base salaries, 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 BOCC ACTION: In accordance with State Statute 215.425, which
provides any bonuses paid to employees must be implemented through a policy, ordinance, rule or
resolution, at the June 21, 2017 meeting BOCC passed a Resolution (Item C.1) and BOG passed a
Resolution (Item G.1) establishing the revised Financial Incentive Program for Monroe County Fire
Rescue Billing Contractual Employees.
Total Cost: $5,718.10 Supervisor
$4,800.00 Specialist
$10,518.10 Total
CONTRACT /AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
In House Collection Rates 7 -01 -2016 tru 6 -30 -2017
FINANCIAL IMPACT:
Effective Date: July 19, 2017
Expiration Date: Ongoing
Total Dollar Value of Contract: $10,518.10
Total Cost to County: $10,518.10
Current Year Portion: $10,518.10.
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:
06/21/17
78%
06/21 /17
22%
Total:
REVIEWED BY:
Gary Boswell
James Callahan
Budget and Finance
Pedro Mercado
Maria Slavik
Kathy Peters
Board of County Commissioners
101 -11001 - MEDICAL AIR TRANSPORT
141 -11500 - FIRE & RESCUE CENTRAL
Completed
Completed
Completed
Completed
Completed
Completed
Pending
$8,204.12
$2,313.98
$10,518.10
05/15/2017 3:19 PM
05/15/2017 3:21 PM
05/15/2017 3:27 PM
05/15/2017 9:00 PM
05/16/2017 7:25 AM
05/16/2017 12:48 PM
07/19/2017 9:00 AM
IN HOUSE COLLECTION RATES
JULY 2016 - JUNE 2017 (12 MONTHS)
$ 16,701,101.20 Total Deposits
$ 5,670,547.73 Non - Medicaid Collection Rate
52.10%
Attachment: In House Collection Rates 7 -01 -2016 tru 6 -30 -2017 (3007 e Billing Supervisor A Specialist Bonus)
Jul -16
Aug -16
Sep -16 Oct -16
Nov -16
Dec -16
Jan -17
Feb -17 Mar -17
Apr -17
May -17
Jun -17
$
110,498.80
$ 105,405.20
$ 104,202.40 $ 100,838.00
$ 95,743.20
$ 121,367.60
$ 128,305.60
$ 123,330.00 $ 121,958.40
$ 109,398.80
$
113,841.60
$ 104,731.60
$
948,010.00
$ 1,056,420.00
$ 883,150.00 $ 1,021,670.00
$ 934,260.00
$ 1,285,100.00
$ 1,636,900.00
$ 1,103,010.00 $ 2,021,640.00
$ 1,199,120.00
$
1,544,530.00
$ 1,727,670.00
$
1,058,508.80
$ 1,161,825.20
$ 987,352.40 $ 1,122,508.00
$ 1,030,003.20
$ 1,406,467.60
$ 1,765,205.60
$ 1,226,340.00 $ 2,143,598.40
$ 1,308,518.80
$
1,658,371.60
$ 1,832,401.60
Medicaid Charges
Air
Medicaid Charges
Ground
Non - Medicaid Charges
Jul -16
Aug -16
Sep -16 Oct -16
Nov -16
Dec -16
Jan -17
Feb -17 Mar -17
Apr -17
May -17
Jun -17
$
41,412.00
$ 56,510.93
$ 61,963.01 $ 51,043.70
$ 44,068.91
$ 52,572.08
$ 49,824.32
$ 62,314.08 $ 69,514.85
$52,710.68
$62,429.46
$50,576.97
$
250,050.40
$ 343,387.19
$ 394,052.96 $ 322,004.34
$ 265,284.89
$ 417,975.68
$ 306,238.32
$ 446,080.35 $ 562,580.00
$626,682.98
$571,087.48
$443,362.98
$
291,462.40
$ 399,898.12
$ 456,015.97 $ 373,048.04
$ 309,353.80
$ 470,547.76
$ 356,062.64
$ 508,394.43 $ 632,094.85
$ 679,393.66
$
633,516.94
$493,939.95
Jul -16
Aug -16
Sep -16 Oct -16
Nov -16
Dec -16
Jan -17
Feb -17 Mar -17
Apr -17
May -17
Jun -17
$
540.17
$ 1,096.56
$ 1,157.45 $ 1,251.93
$ 699.55
$ 1,018.20
$ 1,114.16
$ 1,605.75 $ 1,733.15
$ 542.00
$3,396.32
$ 883.91
$
4,628.98
$ 5,360.00
$ 4,774.80 $ 3,132.73
$ 5,972.98
$ 1,364.00
$ 4,404.00
$ 3,131.29 $ 1,972.91
$ 6,607.15
$4,906.69
$ 5,524.49
$
5,169.15
$ 6,456.56
$ 5,932.25 $ 4,384.66
$ 6,672.53
$ 2,382.20
$ 5,518.16
$ 4,737.04 $ 3,706.06
$ 7,149.15
$
8,303.01
$ 6,408.40
$
15,023,610.00
Non - Medicaid Deposits Air
$ 4,948,787.57
Gross Non - Medicaid Charges
$
16,314,488.00
.and $
1,290,878.00
Non - Medicaid Deposits Ground
$ 654,940.99
Non - collectable Allowances
$
(4,922,738.61)
as $
16,314,488.00
Total Non - Medicaid Deposits
$ 5,603,728.56
Trauma Star Resident Waivers
$
(635,992.02)
Net Non - Medicaid Charges
$
10,755,757.37
$
337,870.00
Medicaid Deposits Air
$ 51,780.02
$
48,743.20
Medicaid Deposits Ground
$ 15,039.15
Total Ground and Air (non- Medicaid)
Deposits
$
5,603,728.56
$
386,613.20
Total Medicaid Deposits
$ 66,819.17
$ 16,701,101.20 Total Deposits
$ 5,670,547.73 Non - Medicaid Collection Rate
52.10%
Attachment: In House Collection Rates 7 -01 -2016 tru 6 -30 -2017 (3007 e Billing Supervisor A Specialist Bonus)