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Item F16BOARD OF COUNTY COMMISSIONERS County of Monroe A Mayor Heather Carruthers, District 3 f T$ne Florida Keys (, S �� Mayor Pro Tem George Neugent, District 2 t� ) ��` �� �' Danny L. Kolhage, District 1 David Rice, District 4 Sylvia J. Murphy, District 5 County Commission Meeting November 22, 2016 Agenda Item Number: F.16 Agenda Item Summary #2292 BULK ITEM: Yes DEPARTMENT: Fire TIME APPROXIMATE: STAFF CONTACT: James Callahan (305) 289 -6088 N/A AGENDA ITEM WORDING: Approval of Resolution authorizing the write -off of 114 Fire Rescue air ambulance accounts receivable for CY 2012, totaling $944,259.60 from the Fine and Forfeiture Fund. ITEM BACKGROUND: Monroe County contracted with Advanced Data Processing Inc., (ADPI) for air ambulance billing in 2012. After 210 days of inactivity with ADPI, outstanding accounts are then placed with the collection agency, Municipal Services Bureau. Three years from the date of incident, Monroe County Finance Department administratively writes -off these debts after BOCC Resolution. The attached Resolution authorizes the write -off of the balances of 114 accounts totaling $944,259.60, which represents the one -year period from January 1, 2012 through December 31, 2012 (see attached Exhibit A). There are 114 accounts in CY 2012 totaling $944,259.60. These debts represent accounts determined to be uncollectable due to a multitude of reasons, including insurance paying the maximum allowable; the service recipients are deceased with no available funds in the estate; bankruptcy; a minor with no parent or guardian found; uncollectible balances of Medicaid /Medicare; HMO balances; patient financially indigent (homeless); foreign address; and /or refusals to pay. Even though these accounts are administratively written off for accounting purposes, the collection agency continues to attempt collection on these accounts. PREVIOUS RELEVANT BOCC ACTION: On August 18, 2010 Resolution No. 223 -2010 authorized the write off of Fire Rescue air ambulance account receivables totaling $35,260.00 for CY 2006. On September 21, 2011 Resolution No. 249 -2011 authorized the write off of Fire Rescue air ambulance account receivables totaling $780,782.79 for CY 2007. The CY 2008 write offs totaled $825,000.90. On November 20, 2013 Resolution No. 386 -2013 authorized the write off of Fire Rescue air ambulance account receivables totaling $529,737.14 for CY 2009. For CY 2010 there were 77 accounts written off totaling $821,273.31. On November 17, 2015 Resolution 385- 2015 authorized the write -off of air ambulance accounts totaling $875,822.46 for CY 2011 were written off. CONTRACT /AGREEMENT CHANGES: N/A STAFF RECOMMENDATION: Approval DOCUMENTATION: Resolution Exhibit A FINANCIAL IMPACT: Effective Date: Expiration Date: Total Dollar Value of Contract: Total Cost to County: Current Year Portion: Budgeted: Source of Funds: CPI: Indirect Costs: Estimated Ongoing Costs Not Included in above dollar amounts: Revenue Producing: Grant: County Match: Insurance Required: Additional Details: If yes, amount: N/A REVIEWED BY: Pedro Mercado Completed 10/30/2016 4:30 PM James Callahan Completed 10/31/2016 8:55 AM Budget and Finance Completed 10/31/2016 9:17 AM Maria Slavik Completed 10/31/2016 9:59 AM Kathy Peters Completed 10/31/2016 11:24 AM Board of County Commissioners Pending 11/22/2016 9:00 AM RESOLUTION NO. -2016 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA AUTHORIZING THE WRITE -OFF OF TRAUMA AIR AMBULANCE ACCOUNTS RECEIVABLE FOR CALENDAR YEAR 2012 WHEREAS, Monroe County Fire Rescue Services provides air ambulance service; and WHEREAS, the Board of County Commissioners of Monroe County contracted with Advanced Data Processing, Inc. (ADPI) for Rescue Ambulance Billing and Related Professional Services in 2012; and WHEREAS, after 210 days of billing, accounts are placed with Municipal Services Bureau, a collection agency, to further attempt collection; and WHEREAS, once a period of 3 years from the date of the billable incident has elapsed, and all efforts of collecting the debt have been exhausted, Monroe County Finance Department directs the write -off of these debts; and WHEREAS, a report was provided by Municipal Services Bureau on accounts that met the above criteria, and were deemed uncollectible, for the time period of January 2012 through December 2012; and WHEREAS, a report was provided by Advanced Data Processing, Inc. on accounts that it was determined that further collection efforts are fruitless as insurance has paid the maximum allowable on these claims, and the service recipients are now either deceased with no available funds in the estate, in bankruptcy, a minor with no parent or guardian found, have uncollectible balances of Medicaid /Medicare, and /or have small exceptions balances for the time period of January 2012 through December 2012. WHEREAS, it is desired that these uncollectible air ambulance service accounts receivable be written off at this time; NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA: Receivables for air ambulance service accounts listed on attached Exhibit A in the amount of $944,259.60 shall be deleted from the Fine and Forfeiture Fund. PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida, at a regular meeting of said Board held on the 22" day of November, 2016. Mayor Mayor Pro Tern Commissioner Commissioner Commissioner (Seal) ATTEST: AMY HEAVILIN, CLERK Deputy Clerk BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA By: Mayor / Chairman MONROE COUNTY ATTORNEY: By: Pedro Mercado EXHIBIT A Monroe County Fire Rescue Air Ambulance (Trauma Star) CY 2012 Account Receivable Write Offs Accounts with MSB (DOS: 11112012 - 1213112012) Account Number Date of Service Final Balance 9400795 01/21/12 $ 13,020.00 9400797 02/03/12 $ 1,776.29 9474444 02/06/12 $ 15,660.00 9749282 03/11/12 $ 1,363.17 11695531 08/07/12 $ 8,220.00 11863145 08/21/12 $ 11,820.00 12443454 10/15/12 $ 15,740.00 14241193 12/13/12 $ 9,580.00 14389381 12/20/12 $ 13,340.00 10793121 2012 -01 -30 $ 1,585.92 Sub Total 2012 -02 -24 $ 90,519.46 Accounts with ADPI (DOS: 11112012 - 12/31/2012) Account Number Date of Service Final Balance 9097453 2012 -01 -01 $ 12,140.00 9097454 2012 -01 -01 $ 13,900.00 9097448 2012 -01 -04 $ 11, 820.00 9286397 2012 -01 -16 $ 1,915.10 9286398 2012 -01 -17 $ 1,915.10 9286409 2012 -01 -22 $ 13,020.00 9286412 2012 -01 -23 $ 12,140.00 9286407 2012 -01 -26 $ 50.00 9286408 2012 -01 -26 $ 1,915.10 10793121 2012 -01 -30 $ 1,585.92 9584520 2012 -02 -24 $ 200.00 9602629 2012 -02 -26 $ 1,915.10 9602630 2012 -02 -29 $ 50.00 9620562 2012 -03 -01 $ 13,820.00 9620561 2012 -03 -03 $ 9,260.00 10262856 2012 -03 -09 $ 12,860.00 9739807 2012 -03 -10 $ 8,487.20 9749286 2012 -03 -12 $ 150.00 9749296 2012 -03 -13 $ 7,615.20 9749291 2012 -03 -16 $ 13,820.00 10239952 2012 -03 -19 $ 14,700.00 10239949 2012 -03 -23 $ 1,915.00 10239955 2012 -03 -27 $ 2,000.00 10239953 2012 -03 -30 $ 1,915.10 10328006 2012 -03 -31 $ 1,585.92 10436624 2012 -04 -04 $ 2,368.00 10371147 2012 -04 -10 $ 12,140.00 10496371 2012 -04 -16 $ 12,140.00 10596066 2012 -04 -21 $ 12,860.00 10710124 2012 -05 -07 $ 1,862.22 10710123 2012 -05 -13 $ 1,915.10 10793117 2012 -05 -16 $ 16,060.00 10793111 2012 -05 -20 $ 9,260.00 10849533 2012 -05 -25 $ 9,420.00 10849525 2012 -05 -30 $ 9,660.00 11085825 2012 -06 -02 $ 10,208.50 11212114 2012 -06 -14 $ 1,488.76 11212116 2012 -06 -16 $ 9,660.00 11200458 2012 -06 -21 $ 1,010.52 11212112 2012 -06 -28 $ 9,880.80 11212124 2012 -07 -01 $ 12,860.00 11212127 2012 -07 -01 $ 11,060.00 11212126 2012 -07 -02 $ 12,140.00 11212120 2012 -07 -03 $ 7,379.32 11212119 2012 -07 -04 $ 3,212.00 11212122 2012 -07 -05 $ 9,660.00 11212121 2012 -07 -06 $ 1,360.52 11319007 2012 -07 -11 $ 11,820.00 11319006 2012 -07 -11 $ 10,114.29 11319001 2012 -07 -13 $ 9,260.00 11319003 2012 -07 -15 $ 2,353.36 11641503 2012 -07 -26 $ 15,980.00 11641500 2012 -07 -30 $ 15,180.00 11641502 2012 -07 -31 $ 10,380.00 11695534 2012 -08 -03 $ 12,140.00 11695530 2012 -08 -06 $ 1,534.36 11863159 2012 -08 -18 $ 10.00 11863156 2012 -08 -18 $ 12,140.00 11863149 2012 -08 -21 $ 5,792.00 y a a a a' a' a 11863148 2012 -08 -21 $ 11,820.00 11863150 2012 -08 -22 $ 10,860.00 11863152 2012 -08 -24 $ 12,140.00 12101583 2012 -08 -31 $ 1,428.60 12101596 2012 -09 -03 $ 12,700.00 12101598 2012 -09 -03 $ 15,740.00 12101593 2012 -09 -06 $ 1,585.92 12101589 2012 -09 -07 $ 49.98 12101591 2012 -09 -09 $ 15,740.00 12148639 2012 -09 -16 $ 10,060.00 12222654 2012 -09 -19 $ 1,360.52 12222651 2012 -09 -20 $ 9,420.00 12222652 2012 -09 -21 $ 13,020.00 12348099 2012 -09 -29 $ 15,660.00 12443453 2012 -10 -16 $ 1,585.92 12604095 2012 -10 -29 $ 15,870.00 12604093 2012 -10 -31 $ 15,820.00 12604094 2012 -10 -31 $ 15,740.00 12619814 2012 -11 -02 $ 10,140.00 12619815 2012 -11 -02 $ 1,829.17 12684492 2012 -11 -07 $ 15,660.00 12684491 2012 -11 -08 $ 15,980.00 12684490 2012 -11 -08 $ 11,340.00 12729804 2012 -11 -09 $ 1,360.52 12740156 2012 -11 -15 $ 1,915.10 12740157 2012 -11 -16 $ 9,860.00 12740155 2012 -11 -16 $ 1,809.34 12799339 2012 -11 -18 $ 1,578.65 12799341 2012 -11 -19 $ 11,520.00 12810779 2012 -11 -25 $ 14,780.00 12858146 2012 -11 -28 $ 10,220.00 14241203 2012 -12 -10 $ 11,168.95 14241198 2012 -12 -10 $ 6,368.00 14241201 2012 -12 -11 $ 7,856.00 14241202 2012 -12 -11 $ 13,980.00 14821009 2012 -12 -14 $ 12,380.00 14241197 2012 -12 -14 $ 1,340.03 14241196 2012 -12 -15 $ 9,740.00 14262259 2012 -12 -16 $ 10,940.00 14262260 2012 -12 -17 $ 8,431.20 14262258 2012 -12 -19 $ 1,578.65 y a a a a' a' a 14389383 2012 -12 -22 $ 7,940.00 14389385 2012 -12 -22 $ 4,304.00 14389384 2012 -12 -23 $ 1,815.10 14389380 2012 -12 -24 $ 6,640.00 14389375 2012 -12 -26 $ 15,660.00 Sub Total $ 853,740.14 Total $ 944,259.60 y: a F.