Item H1C ounty of M onroe
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BOARD OF COUNTY COMMISSIONERS
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Mayor David Rice, District 4
The FlOnda Key
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Mayor Pro Tem Sylvia J. Murphy, District 5
Danny L. Kolhage, District 1
George Neugent, District 2
Heather Carruthers, District 3
County Commission Meeting
August 15, 2018
Agenda Item Number: H.1
Agenda Item Summary #4515
BULK ITEM: Yes DEPARTMENT: Fire & Ambulance District 1 Board of
Governors
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 in the amount of 10% of her unloaded base salary; and approval to award the annual
lump sum bonuses to the two Billing Specialists in the amount of 10% of their unloaded base
salaries based on an average collection rate of 53.97% compared to the baseline collection rate of
33.7% for the period July 1, 2017 to June 30, 2018. (COMPANION ITEM TO C6)
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 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 BOG passed Resolution 114 -2014 establishing a financial incentive
program in order to incentivize billing employees to increase collections.
At the July 15, 2015, BOCC meeting, the BOG passed Resolution 183 -2015 to clarify the baseline
collection time period.
At the June 21, 2017 BOCC meeting, the BOG passed Resolution 159 -2017 which rescinded
Resolution 114 -2014 and 183 -2015 and set forth the revised bonus [financial incentive] program.
CONTRACT /AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
In House Collection Rates 7 -01 -2017 tru 6 -30 -2018
FINANCIAL IMPACT:
Effective Date: 8/15/18
Expiration Date:
Total Dollar Value of Contract: N/A
Total Cost to County: $17,200.00
Current Year Portion: $17,200.00
Budgeted: Yes
Source of Funds: 11001 (78 %); 11500 (22 %)
CPI:
Indirect Costs:
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing: If yes, amount:
Grant:
County Match:
Insurance Required:
Additional Details:
This bonus is based upon an average collection rate of 53.97% for air and ground ambulance
charges for the evaluation period from July 1, 2017, to June 30, 2018, as compared to the
Baseline Collection Rate of 33.70 %. In accordance with the resolution authorizing this bonus,
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 in the amount of one percent (1.0 %) of the
employee's unloaded base salary, up to a maximum increase of ten percent (10 %).
Total Cost: $6,800.00 Supervisor (Purdin)
$5,600.00 Supervisor (Stitt)
$4,800.00 Specialist (Machado)
$17,200.00 Total
08/15/18 101 -11001 MEDICAL AIR TRANSPORT
$13,416.00
510120 (78 %)
08/15/18 141 -11500 FIRE & RESCUE CENTRAL
$3,784.00
510120 (22 %)
Total:
$17,200.00
REVIEWED BY:
Gary Boswell Completed 07/23/2018 1:12 PM
James Callahan Completed 07/25/2018 10:06 AM
Pedro Mercado Completed 07/25/2018 3:27 PM
Kathy Peters Completed 07/26/2018 2:06 PM
Board of County Commissioners Pending 08/15/2018 9:00 AM
H.1.a
IN HOUSE COLLECTION RATES
JULY 2017 - JUNE 2018 (12 MONTHS)
CHARGES
$
Jul -17
Aug -17
Sep -17
Oct -17
Nov -17
Dec -17
Jan -18
Feb -18
Mar -18
I Apr -18 I
May -18
Jun -18
Total Charges
GROUND CHARGES
$
119,652.40
$ 101,612.00
$ 105,508.40 $
109,304.80
$ 96,765.60
$ 115,622.00
$ 120,854.80 $
105,834.40
$ 114,627.20
$ 102,763.60 $
99,576.40 $
85,337.60
$ 1,277,459.20
AIR CHARGES
$
1,845,550.00
$ 1,906,220.00
$ 2,203,070.00 $
1,900,990.00
$ 1,658,760.00
$ 2,172,970.00
$ 1,751,730.00 $
2,316,380.00
$ 2,035,180.00
$ 1,818,580.00 $
1,612,070.00 $
1,741,980.00
$ 22,963,480.00
TOTAL CHARGES
$
1,965,202.40
$ 2,007,832.00
$ 2,308,578.40 $
2,010,294.80
$ 1,755,525.60
$ 2,288,592.00
$ 2,422,214.40 $
2,422,214.40
$ 2,149,807.20
$ 1,921,343.60 $
1,711,646.40 $
1,827,317.60
$ 24,240,939.20
$
8,349,255.64
Non - Medicaid Collection Rate
53.97%
Medicaid Charges Air
$ 506,090.00
Medicaid Charges Ground
$ 55,541.60
Non - Medicaid Charges
$ 23,679,307.60
NON - MEDICAID DEPOSITS Jul -17 Aug -17 Sep -17 Oct -17 Nov -17 Dec -17 Jan -18 Feb -18 Mar -18 Apr -18 May -18 Jun -18 TOTAL
GROUND $ 53,182.17 $ 63,884.82 $ 27,890.00 $ 50,652.31 $ 54,885.84 $ 48,443.77 $ 48,819.50 $ 54,086.20 $ 53,111.26 $ 45,704.72 $ 62,232.58 $56,679.02 $ 619,572.19
AIR $ 438,785.54 $ 677,844.02 $ 465,742.62 $ 650,862.76 $ 583,279.95 $ 557,146.17 $ 558,677.20 $ 793,348.95 $ 658,052.93 $ 845,138.00 $ 580,048.54 $811,552.82 $ 7,620,479.50
TOTAL $ 491,967.71 $ 741,728.84 $ 493,632.62 $ 701,515.07 $ 638,165.79 $ 605,589.94 $ 711,164.19 $ 847,435.15 $ 711,164.19 $ 890,842.72 $ 642,281.12 $868,231.84 $ 8,240,051.69
MEDICAID DEPOSITS Jul -17 Aug -17 Sep -17 Oct -17 Nov -17 Dec -17 Jan -18 Feb -18 Mar -18 Apr -18 May -18 Jun -18 TOTAL
GROUND $ 809.35 $ 888.31 $ 305.77 $ 482.94 $ 766.03 $ 1,793.07 $ 1,420.49 $ 688.62 $ 851.34 $ 1,880.45 $ 1,951.87 $ 873.89 $ 12,712.13
AIR $ 7,452.96 $ 4,941.51 $ 3,577.88 $ 1,512.00 $ 7,528.59 $ 10,713.82 $ 5,348.00 $ 3,081.31 $ 13,352.92 $ 4,320.00 $ 31,213.19 $ 3,449.64 $ 96,491.82
TOTAL $ 8,262.31 $ 5,829.82 $ 3,883.65 $ 1,994.94 $ 8,294.62 $ 12,506.89 $ 14,204.26 $ 3,769.93 $ 14,204.26 $ 6,200.45 $ 33,165.06 $ 4,323.53 $ 109,203.95
Non - Medicaid Charges Air
$
22,457,390.00
Non - Medicaid Deposits Air
$
7,620,479.50
Gross Non - Medicaid Charges
$ 23,679,307.60
Non - Medicaid Charges Ground
$
1,221,917.60
Non - Medicaid Deposits Ground
$
619,572.19
Non - collectable Allowances
$ (7,331,888.61)
Total Non - Medicaid Charges
$
23,679,307.60
Total Non - Medicaid Deposits
$
8,240,051.69
Trauma Star Resident Waivers
$ (1,079,789.88)
Net Non - Medicaid Charges
$ 15,267,629.11
Medicaid Charges Air
$
506,090.00
Medicaid Deposits Air
$
96,491.82
Medicaid Charges Ground
$
55,541.60
Medicaid Deposits Ground
$
12,712.13
Total Ground and Air (non - Medicaid) Deposits
$ 8,240,051.69
Total Medicaid Charges
$
561,631.60
Total Medicaid Deposits
$
109,203.95
Total Charges
$
24,240,939.20
Total Deposits
$
8,349,255.64
Non - Medicaid Collection Rate
53.97%
Packet Pg. 1083