Item C1I to g eye] " yj
�K'Uj DIC I 1Y.1 V
Bulk Item. Yes X No
Divisiom. Emergency Services
Department:. - Fire Rescue
Staff Contact Person: Purdin/Harbinson289-6010
AGENDA ITEM WORDING: Approval of Resolution authorizing the write-off of 87 accounts receivable
for covering the time period of 2008 through August 2014 totaling $722,659.16 for Monroe County residents
who qualified for the Trauma Star Air Ambulance Waiver Program.
ITEMBACKGROUND: 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 andJor interfacility
transports after any third party payments have been received. The attached Resolution authorizes the write-off
of the balances of 87 qualified Monroe County resident's accounts receivable totaling $722,659.16. (See
attached Exhibit B). One hundred and nine resident fee waiver applications were received and approved in FY
2014. Of the 109 applications, 22 accounts were fully -paid by third -party insurance and 87 accounts had
outstanding balances after third -party payments.
On April 1, 2014 air and ground billing was brought in-house and is now handled by Monroe County Fire
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 ouse billing department mailed out waivers
to 125 Cmdent accounts with dates of serv�icr4- �LZT&A_
There was a total of 1,599 Trauma Star tmnsports from 2008-2014 and 87 fee waivers in FY 2014 totaling
$722,659.16. (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 interfacility
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.
CONTRACT/AGREEMENT CHANGES: N/A
STAFF RECOMMENDATIONS: Approval.
TOTALCOI! R BUDGETED: Yes No
DIFFERENTLAL OF LOCAL PREFERENCE: N/A
COST TO COUNTY: N/A SOURCE OF FUNDS: N/A
REVENUE PRODUCING- Yes No AMOUNT PER MONTH Year
-'iPurchasing V Risk Management' APPROVED BY: County Atty
M13-Z431y0orik INNEEMKINDIXT111-3m;
RESOLUTION NO. .
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 interfacility 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;
f10 10 1 K"M LINI D1 114MIJ1 '! 1
1. Receivables for resident waiver air ambulance service 87 accounts listed on
attached Exhibit B in the amount of $722,659.16 shall be deleted from the Fine
and Forfeiture Fund Account 101-115002.
0
PASSED AND ADOPTED by the Board of County Commissioners of Monroe Count
Florida, at a regular meeting of said board held on the I 01h of December, 2014. 1
Mayor Sylvia Murphy, District 5
Mayor Pro Tem, Danny L. Kolhage, District I
Commissioner, George Neugent, District 2
Commissioner, Heather Carruthers, District 3
Commissioner, David Rice, District 4
(SEAL) BOARD OF COUNTY
ATTEST: AMY HEAVILIN, COMMISSIONERS OF MONROE
COUNTY CLERK COUNTY, FL
By: By:__,,,,
Deputy Clerk Mayor / Chairman
11q
Exhibit A
.--
Trauma Star Statistics
YEAR
2008
2009
2010
2011
2012
2013
AUGUST
TOTAL
2014
TOTAL
TRANSPORTS
156
168
203
234
314
304
220
1,599
FEE WAIVERS
1
6
3
32
12
25
8
87
REVENUE
COLLECTED
FROM
$11,627.76
$11,956.00
$15,503.68
$147,306.44
$79,532.59
$107,982.64
$44,667.73
$418,576.84
WAIVER
TRANSPORTS
AMOUNT TO
BE WRITTEN-
$512.24
$64,244
$24,276.32
$277,693.56
$90,547.41
$207,597.36
$57,788.27
$722,659.16
OFF
I
Exhibit B
Monroe County Fire Rescue
Trauma Star Resident Fee Waiver FY 2014 Account Receivables Write -Off
ORIGINAL
AMOUNT PAID
AMOUNTTO BE
DATE OF INDIDENT
ACCOUNT#
AMOUNT
OR ADJUSTED
WAIVED
ADPI
Accounts
4/3/2012 10239949
$16,060.00 $14,144.90 $1,915.10
12/20/2011 9083215
$10,380.00 $8,959.89 $1,420.11
12/6/2011 8861285
$11,180.00 $0.00 $11,180.00
7/12/2011 160239-01
$13,980.00 $12,275.2-7 $1,704.73
7/26/2011
160258-03
$15,420.00
$0.00
$15,420.00
12/9/2011
89059906
$9,660.00
$0.00
$9,660.00
7/23/2011
160253-02
$15,420.00
$13,600.10
$1,819.90
8/1/2011
160267-03
$9,420.00
$5,350.01
$4,069.99
7/21/2011
160249-03
$12,140.00
$6,156.00
$5,984.00
1/12/2011
160012-03
$14,220.00
$0.00
$14,220.00
9/12/2011
160306-02
$15,420.00
$0.00
$15,420.00
8/2/2011
160269-03
$12,140.00
$0.00
$12,140.00
9/1/2011
160301-2
$16,060.00
$0.00
$16,060.00
7/12/2011
160237-03
$9,420.00
$9,220.00
$200.00
4/14/2011
160130-01
$16,060.00
$0.00
$16,060.00
5/17/2011
160172-02
$12,060.00
$6,722.64
$5,337.36
8/9/2009
160168-01
$12,060.00
$0.00
$12,060.00
11/19/2009
160235-01
$11,740.00
$0.00
$11,740.00
7/17/2009
160144-01
$14,140.00
$0.00
$14,140.00
6/14/2009
160108-02
$14,140.00
$6,956.00
$7,184.00
12/8/2008
160201-01
$12,140.00
$11,627.76
$512.24
10/5/2009
160203-02
$9,820.00
$0.00
$9,820.00
5/4/2009
160070-01
$14,300.00
$5,000.00
$9,300.00
9/12/2010
160234-01
$12,060.00
$10,503.68
$1,556.32
3/4/2011
160083-03
$15,420.00
$13,599.10
$1,820.90
3/31/2011
160111-04
$13,260.00
$3,302.00
$9,958.00
1/24/2011
160025-03
$14,140.00
$ 0.00
$14,140.00
2/7/2011
160047-03
$14,860.00
$0.00
$14,860.00
3/16/2011
160096-04
$15,420.00
$0.00
$15,420.00
10/3/2010
160254-02
$12,060.00
$0.00
$12,060.00
3/21/2011
160103-01
$15,420.00
$13,599.10
$1,820.90
2/17/2011
160063-04
$10,940.00
$7,580.00
$3,360.00
2/8/2010
160029-01
$15,660.00
$5,000. 00
$10,660.00
3/19/2011
160101-03
$14,620.00
$14,470.00
$150.00
6/4/2011
160197-03
$14,700.00
$0.00
$14,700.00
6/13/2011
160205-03
$12,940.00
$0.00
$12,940.00
4/28/2011
160144-02
$15,420.00
$13,599.10
$1,820.90
In -House
Accounts
4/26/2014
14-1021
$12,060.00
$0.00
$12,060.00
5/19/2014
7/5/2014
14-1195
14-1572
$9,660.00
$12,076.00
$9,100.74
$10,466.53
$559.26
$1,609.47
4/4/2014
14-808
$8,812.00
$8,100.46
$711.54
7/4/2014
14-1556
$12,788.00
$4,000.00
$8,788.00
5/16/2014
14-1180
$15,900.00
$13,000.00
$2,900.00
Residentfee Waiver Totals
$1,141236.00
$418,576.8"
$7&659.16