Item G10G.10
BOARD OF COUNTY COMMISSIONERS
C ounty of M onroe
Mayor David Rice, District 4
Mayor Pro Tem Sylvia J. Murphy, District 5
TheFloridaKeys
Danny L. Kolhage, District 1
George Neugent, District 2
Heather Carruthers, District 3
County Commission Meeting
November 20, 2018
Agenda Item Number: G.10
Agenda Item Summary #4867
BULK ITEM: Yes DEPARTMENT: Emergency Services
TIME APPROXIMATE: STAFF CONTACT: James Callahan (305) 289-6088
N/A
AGENDA ITEM WORDING: Approval of Resolution authorizing the write-off of 102 Fire
Rescue air ambulance accounts receivable for CY 2014, totaling $952,129.14 from Fine and
Forfeiture Fund (101). In CY 2014, we collected $1,956,112.60 and deposited into accounts
receivable.
ITEM BACKGROUND: Monroe County contracted with Advanced Data Processing Inc.,
(ADPI) for air ambulance billing in 2013. After 210 days of inactivity with ADPI, outstanding
accounts are then placed with the collection agency, Municipal Services Bureau. Monroe County
st
on April 1 of 2014 no longer contracts with ADPI and air ambulance billing is done in-house.
After 210 days of inactivity with Monroe County, 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 102 accounts totaling $ВЎЋͲЊЋВ͵ЊЍ,
which represents the one-year period from January 1, 2014 through December 31, 2014 (see
attached Exhibit A). There are 102 accounts in CY 2014 totaling $ВЎЋͲЊЋВ͵ЊЍ. 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
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G.10
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 2011were
written off. On November 22, 2016 Resolution 282-2016 authorized the write-off of air ambulance
accounts totaling 944,259.60 for CY 2012. On November 14, 2017 Resolution 302-2017
authorized the write-off of air ambulance accounts totaling $ВЎЊͲЏАЌ͵ЌВ for CY 2013 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: Fund 101, Cost Center 11001
CPI:
Indirect Costs:
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing: If yes, amount:
Grant:
County Match:
Insurance Required:
Additional Details:
N/A
REVIEWED BY:
Gary Boswell Completed 10/23/2018 10:02 AM
Pedro Mercado Completed 10/23/2018 10:03 AM
James Callahan Completed 10/23/2018 12:10 PM
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G.10
Budget and Finance Completed 10/23/2018 12:50 PM
Maria Slavik Completed 10/23/2018 1:58 PM
Kathy Peters Completed 10/24/2018 1:39 PM
Board of County Commissioners Pending 11/20/2018 9:00 AM
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G.10.a
RESOLUTION NO. -2018
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 2014
______________________________________________
WHEREAS, Monroe County Fire Rescue Services provides air ambulance service; and
WHEREAS, the Board of County Commissioners of Monroe County contracted with Advanced Data
st
Processing, Inc. (ADPI) for Rescue Ambulance Billing and Related Professional Services through March 31 of 2014;
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 4 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 Monroe County Billing Department of accounts placed with
Municipal Services Bureau on accounts that met the above criteria, and were deemed uncollectible, for the time period
of April 2014 through December 2014; 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 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 2014 through March 2014; and
WHEREAS, a report was provided by Monroe County Billing Department 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 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 April 2014 through December 2014.
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:
1. Receivables for air ambulance service accounts listed on attached Exhibit A in the amount of $ВЎЋͲЊЋВ͵ЊЍ shall
be deleted from the Fine and Forfeiture Fund (101).
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida, at a regular
th
meeting of said Board held on the 20 day of November, 2018.
Mayor _____________________ ______
Attachment: Resolution (Air Ambulance Write Offs for CY 2014)
Mayor Pro Term _____________________ ______
Commissioner _____________________ ______
Commissioner _____________________ ______
Commissioner _____________________ ______
(SEAL) BOARD OF COUNTY COMMISSIONERS OF
ATTEST: KEVIN MADOK, CLERK MONROE COUNTY, FLORIDA
By:__________________________________ By:__________________________________
Deputy Clerk Mayor / Chairman
MONROE COUNTY ATTORNEY:
By: ____________________________
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G.10.b
EXHIBIT A
Monroe County Fire Rescue
Air Ambulance (Trauma Star)
CY 2014 Account Receivable Write Offs
TRAUMA STAR ACCOUNTS WITH MSB
(DOS: 01/01/2014 - 12/31/2014)
DATE OF SERVICE Run # BALANCE
2014-04-01 774 $1,709.74
2014-04-06 844 $15,900.00
2014-04-11 888 $4,072.80
2014-04-11 896 $9,548.00
2014-04-12 892 $12,140.00
2014-05-10 1136 $12,060.00
2014-05-15 1172 $12,788.00
2014-05-17 1179 $2,761.48
2014-05-18 1188 $1,373.24
2014-05-20 1205 $11,916.00
2014-05-24 1239 $4,428.80
2014-05-25 1240 $1,379.97
2014-05-25 1246 $12,140.00
2014-05-27 1253 $276.35
2014-05-30 1276 $5,945.60
2014-06-04 1324 $12,140.00
2014-06-07 1348 $16,060.00
2014-06-09 1364 $1,497.08
2014-06-13 1390 $15,740.00
2014-06-14 1412 $2,051.37
2014-06-15 1419 $10,860.00
2014-06-18 1444 $9,580.00
2014-07-07 1595 $7,554.17
2014-07-19 1699 $16,060.00
2014-07-27 1764 $9,260.00
2014-07-29 1776 $9,068.00
2014-08-02 1834 $16,060.00
2014-08-12 1931 $12,076.00
2014-08-18 1970 $14,380.00
Attachment: Exhibit A (Air Ambulance Write Offs for CY 2014)
2014-08-18 1977 $15,180.00
2014-09-05 2136 $9,582.58
2014-10-21 2448 $14,700.00
2014-11-02 2534 $15,900.00
2014-11-20 2671 $12,076.00
2014-11-30 2762 $15,900.00
2014-12-01 2776 $9,538.00
2014-12-09 2853 $9,228.00
2014-12-16 2906 $12,076.00
2014-12-19 2940 $1,709.74
2014-12-30 3059 $12,980.00
SUB TOTAL 40 $389,696.92
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G.10.b
TRAUMA STAR ACCOUNTS WITH ADPI
(DOS: 01/01/2014 - 03/31/2014)
DATE OF SERVICE ACCOUNT NUMBER BALANCE
2014-01-03 18222478 $ 12,060.00
2014-01-04 18270535 $ 10,060.00
2014-01-09 18297996 $ 5,648.00
2014-01-10 18297994 $ 12,140.00
2014-01-18 18392991 $ 5,500.00
2014-01-19 18467782 $ 250.00
2014-01-19 18467781 $ 6,333.20
2014-01-19 18467780 $ 13,020.00
2014-01-20 18467777 $ 9,420.00
2014-01-23 18467778 $ 4,890.00
2014-01-25 18620179 $ 13,500.00
2014-01-25 18620178 $ 15,820.00
2014-01-25 18620180 $ 16,060.00
2014-01-26 18620183 $ 8,030.00
2014-02-01 18620189 $ 12,060.00
2014-02-01 18620190 $ 12,140.00
2014-02-02 18620188 $ 5,476.80
2014-02-06 18640978 $ 1,610.14
2014-02-08 18650835 $ 15,420.00
2014-02-09 18650833 $ 11,500.00
2014-02-10 18721142 $ 15,740.00
2014-02-12 18721145 $ 1,608.12
2014-02-14 18721136 $ 6,620.00
2014-02-16 18721140 $ 15,340.00
2014-02-17 18721139 $ 11,980.00
2014-02-19 18829894 $ 10,700.00
2014-02-20 18829896 $ 5,984.00
2014-02-20 18829898 $ 7,852.00
2014-02-20 18829893 $ 12,060.00
2014-02-22 18829897 $ 12,860.00
2014-02-23 18829889 $ 3,954.62
2014-02-24 18829888 $ 15.00
2014-02-26 18829892 $ 12,860.00
2014-03-01 19108758 $ 13,020.00
2014-03-04 19108759 $ 12,060.00
2014-03-06 19108764 $ 1,614.85
2014-03-09 19108761 $ 12,780.00
Attachment: Exhibit A (Air Ambulance Write Offs for CY 2014)
2014-03-10 19108763 $ 12,860.00
2014-03-16 19119115 $ 1,685.52
2014-03-16 19119114 $ 1,884.05
2014-03-16 19119112 $ 9,420.00
2014-03-19 19516658 $ 12,140.00
2014-03-19 19516659 $ 12,140.00
2014-03-22 19516657 $ 1,916.00
2014-03-23 19516663 $ 9,500.00
2014-03-23 19516664 $ 15,740.00
2014-03-25 19516662 $ 9,980.00
2014-03-25 19516651 $ 15,660.00
2014-03-26 19516650 $ 10,060.00
2014-03-26 19516653 $ 13,340.00
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2014-03-31 19516656 $ 1,944.62
2014-03-31 19516654 $ 12,140.00
SUB TOTAL 52 $ 488,396.92
TRAUMA STAR ACCOUNTS IN-HOUSE
(04/01/2014 - 12/31/2014)
DATE OF SERVICE Run # BALANCE DUE
2014-04-05 821 $1,517.75
2014-04-22 980 $8,410.60
2014-05-01 1076 $1,379.97
2014-05-24 1232 $10.00
2014-06-10 1376 $14,380.00
2014-08-01 1810 $7,088.00
2014-09-02 2109 $12,140.00
2014-09-19 2230 $5,460.17
2014-10-25 2473 $13,980.00
2014-11-18 2658 $9,668.81
SUB TOTAL 10 $74,035.30
TOTAL 102 $ 952,129.14
Attachment: Exhibit A (Air Ambulance Write Offs for CY 2014)
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