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Item F17BOARD 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.17 Agenda Item Summary #2293 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 92 accounts receivable covering the time period of 2013 through August 2016 totaling $695,317.54 for Monroe County residents who qualified for the Trauma Star Air Ambulance Waiver Program. ITEM BACKGROUND: On May 20, 2009 Resolution No. 152 -2009 was passed establishing the Trauma Star Air Ambulance Fee Waiver Program effective November 4, 2008. Residents who qualify for this program are authorized to have all out -of- pocket fees waived for Trauma Star emergency and /or inter - facility air - transports after any third party payments have been received. The attached Resolution authorizes the write -off of the balances of 92 qualified Monroe County resident's accounts receivable totaling $695,317.54. (See attached Exhibit B). On April 1, 2014 air and ground billing was brought in -house and is now handled by Monroe County Fire Rescue. Once billing was brought in -house the department did an in -depth analysis of the open patient accounts held by the prior vendor. It was discovered that Trauma Star Air Ambulance Fee Waivers were not being distributed to patients who were Monroe County residents. The in -house billing department mailed out waivers to 125 patient accounts with dates of service from 2011 -2014. This created an influx of fee waivers in FY 2014, which continued into FY 2015. There were a total of 1,807 Trauma Star transports from 2009 -2015 and on March 18, 2015 the write -off of 85 Fire Rescue air ambulance resident waivers totaling $712,326.92 was authorized. 67 fee waivers accepted and approved in FY 2015 totaling $388,998.33. In July 2015, the Board of County Commissioners voted to extend this waiver program to all Monroe County property owners, regardless of residency, for all air transports on or after July 15, 2015. (See attached Exhibit A). PREVIOUS RELEVANT BOCC ACTION: On May 20, 2009 the Board approved Resolution No. 152 -2009 adopting a fee waiver policy and process for trauma star billing for trauma scene and critical care inter - facility flights for qualifying Monroe County residents for flights that occurred after November 4, 2008. On August 18, 2010 Resolution No. 247 -2010 authorized the write -off of 22 Fire Rescue air ambulance resident waivers totaling $150,437.61. On October 19, 2011 Resolution No. 248 -2011 authorized the write -off of 25 Fire Rescue air ambulance resident waivers totaling $180,916.58. Forty approved applications received in FY 2012 totaling $336,969.86. On November 20, 2013 Resolution No. 384 -2013 authorized the write -off of 15 Fire Rescue air ambulance resident waivers totaling $114,799.77. On March 18, 2015 Resolution No. 067 -2015 authorized the write -off of 85 Fire Rescue air ambulance resident waivers totaling $712,326.92. On November 17, 2015 Resolution 384 -2015 authorized the write -off of 67 Trauma Star air ambulance resident waivers totaling $388,998.33 CONTRACT /AGREEMENT CHANGES: N/A STAFF RECOMMENDATION: Approval DOCUMENTATION: Resolution Exhibit B 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 4:25 PM James Callahan Completed 10/31/2016 8:54 AM Budget and Finance Completed 10/31/2016 9:18 AM Maria Slavik Completed 10/31/2016 9:59 AM Kathy Peters Completed 10/31/2016 11:30 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 RESIDENT WAIVER ACCOUNTS RECEIVABLE WHEREAS, Monroe County Fire Rescue Services provides air ambulance service; and WHEREAS, on May 20, 2009 the Board approved Resolution No. 152 -2009 adopting a fee waiver policy and process for trauma star air ambulance billing or trauma scene and critical care inter - facility flights for qualifying Monroe County residents for flights that occurred after November 4, 2008; and WHEREAS, the accounts shown on Exhibit B have applied for the resident waiver; and WHEREAS, the Board of County Commissioners of Monroe County contracted with Advance Data Processing, Inc. (ADPI) for trauma air ambulance billing and related professional services until March 31, 2014 as which time the billing was brought in- house; and WHEREAS, a report was provided by Advanced Data Processing, Inc. and in -house billing on these accounts and it was determined that all third party payments have been received and applied to their accounts; that the balances constituted the amount remains after all third party payments had been credited to the account; and that residents submitted sufficient documentation to qualify for the resident trauma air ambulance waiver; and WHEREAS, it is desired that these resident waiver trauma 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: 1. Receivables for resident waiver air ambulance service 89 accounts listed on attached Exhibit B in the amount of $667,032.02 shall be deleted from the Fine and Forfeiture Fund. 2. Receivables for resident waiver air ambulance service 3 accounts listed on attached Exhibit B in the amount of $28,285.52 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 By: Deputy Clerk BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA By: Mayor / Chairman MONROE COUNTY ATTORNEY: By: Pedro Mercado Q LL L X Uj D V rl rl N N O Ol I� I� N J O � Q } q d M V z Ol a N N y r � N tn V). io 0 m 0 r imD 1 4 o Lf� ll ni t7 o m m rN � N Q N m m ti Lo rn N m O >n n cc N N ul DO m 6 � m oo 0 d oo oo m N d o m n L m o m Do LO a � 00 u N ' T O N N N N H N L N ry n � W N O m ri oo Ill N Q� O CO ri y O N M 00 Ln N N VI r-i 0) N CD �o N m O m M o ° N 0 N o N m Lri ill �t r+ N to O o mo 00 VN rn R O N CD - ul H N V1 Q' F OC W 0 L" W > CL W m LL O a n��a ? }-QO ~ z LL W T~� J v) Z O V< r w O O V LL r Q rl rl N �Q L� ` I Y W N d N N Of Fr s � I w � W LL w � W . t� OJ 4A 3 T O i L Q Rf o a y M c o d � L Z V � y.� N L O Q d N � z Arty w W . 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