Item C4 BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: October 20,2014 Division: Emergency Services
Bulk Item: Yes X No — Department: Fire Rescue
Staff Contact Person: Purdin/Harbinson289-601, 0
AGENDA ITEM WORDING: Approval of Resolution authorizing the write-off of 88 accounts receivable
for FY 2014 totaling$730,707.16 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 interfacility air-
transports after any third party payments have been received.The attached Resolution authorizes the write-off
of the balances of 88 qualified Monroe County resident's accounts receivable totaling$730,707.16.(See
attached Exhibit B).One hundred and ten resident fee waiver applications were received and approved in FY
2014. Of the 110 applications,22 accounts were fully-paid by third-party insurance and 88 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
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 2008-2014. This created an influx of fee waivers in FY 2014.
There was a total of 1,599 Trauma Star transports from 2008-2014 and 88 fee waivers in FY 2014 totaling
$730,707.16. (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. 247-20 10 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
$3 3 6,969.86. On November 20,2013 Resolution No. 3 84-2013 authorized the write-off of 15 Fire Rescue air
ambulance resident waivers totaling$114,799.77.
CONTRACT/AGREEMENT CHANGES: N/A
STAFF RECOMMENDATIONS: Approval.
TOTAL COST: NA INDIRECT COST:_ BUDGETED: Yes No
DIFFERENTIAL OF LOCAL PREFERENCE: N/A
COST TO COUNTY: N/A SOURCE OF FUNDS:- N/A
REVENUE PRODUCING: Yes— N AMOUNT PER MONTH_ Year
4
"PROVED BY: County Atty e0MB/Purchasing— Risk Management
DOCUMENTATION: Included X Not Required
DISPOSITION: AGENDA ITEM#
RESOLUTION NO. 2014
A RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA,
AUTHORIZING THE WRITE-OFF OF
TRAUMA STAR 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 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;
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY:
1. Receivables for resident waiver air ambulance service 88 accounts listed on
attached Exhibit B in the amount of$730,707.16 shall be deleted from the Fine
and Forfeiture Fund Account 10 1-115002.
1
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, at a regular meeting of said board held on the 20 th of October, 2014.
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
MONROE GOUNfY ATTORNEY
I PRO ED ASJO 0
A;r
C'i U 'ALL
ASSISIANT COUNTY ATTORNEY
Date,__...............
2
Exhibit A
Monroe County Fire Rescue
Trauma Star Resident Fee Waiver FY 2014 Account Receivables Write-Off
Trauma Star Statistics
YEAR 2008 2009 2010 2011 2012 2013 AUGUST TOTAL
2014
TOTAL 156 168 203 234 314 304 220 1,599
TRANSPORTS
FEE WAIVERS 1 6 3 32 12 25 9 88
REVENUE
COLLECTED
FROM $11,627.76 $11,956,00 $15,503.68 $147,306.44 $79,532.59 $107,982.64 $52,199.73 $426,108.84
WAIVER
TRANSPORTS
AMOUNT TO
BE WRITTEN- $512,24 $64,244 $24,276.32 $277,693.56 $90,547.41 $207,597.36 $65,836,.27 $730,707.16
OFFI I I
Exhibit B
Monroe County Fire Rescue
Trauma Star Resident Fee Waiver FY 2014 Account Receivables Write-Off
ORIGINAL AMOUNT PAID AMOUNT TO 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 $12,275.27 $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 16oa29-a1 $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 160144-021 $15,420.00 $13,599.10 $1,820.90
2/25/2011 160073-03 $15,420.00 $0.00 $15,420.00
6/7/2011 160199-03 $9,340.00 $0.00 $9,340.00
6/27/2011 160225-02 $9,420.00 $0.00 $9,420.00
5/18/2011 160173-02 $9,260-00 $0.00 $9,260.00
11/19/2012 12799341 $17,020.00 $5,500.00 $11,520.00
3/3/2013 15010739 $12,140.00 $6,164.09 $5,975.91
1/29/2013 14748993 $9,420.00 $0.00 $9,420.00
6/2/2012 11085825 $15,340.00 $5,131.50 $10,208.50
12/10/2012 14241203 $13,020.00 $1,851.05 $11,168.95
4/16/2013 15469121 $12,060.00 $0.00 $12,060.00
11/16/2012 12740157 $14,860.00 $5,000.00 $9,860.00
11/7/2013 17658989 $13,260.00 $6,604.00 $6,656.00
12/5/2013 17937682 $13,340.00 $0.00 $13,340.00
9/15/2013 17146363 $12,860.00 $6,444.00 $6,416.00
11/4/2013 17625561 $15,420.00 $0.00 $15,420.00
10/29/2013 17567406 $16,060.00 $5,704.04 $10,355.96
11/27/2013 17865373 $15,180.00 $13,533.37 $1,646.63
6/29/2013 16196360 $13,340.00 $3,945.20 $9,394.80
6/11/2013 16049267 $11,740.00 $2,496.00 .$9,244.00
12/15/2013 18051490 $9,660.00 $0-00 $9,660.00
3/30/2013 15297075 $9,420.00 $8,048.54 $1,371.46
12/12/2011 8905908 $16,060.00 $14,181.01 $1,878.99
9/23/2013 17215985 $9,420.00 $8,048.54 $1,371.46
2/8/2014 18650835 $15,420.00 $0.00 $15,420.00
12/11/2012 14241202 $13,980.00 $0.00 $13,980.00
6/6/2013 16085482 $12,140.00 $11,812.78 $327.22
1/16/2012 9286397 $16,060.00 $14,144.90 $1,915.10
12/24/2012 14389380 $12,140.00 $5,500.00 $6,640.00
8/21/2012 11863148 $11,820.00 $0.00 $11,820.00
6/28/2012 11212112 $16,060.00 $6,179.00 $9,881.00
8/4/2013 16584168 $14,700.00 $0.00 $14,700.00
11/8/2013 17693230 $9,500.00 $250.00 $9,250.00
5/22/2013 15852016 $9,340.00 $8,252.08 $1,087.92
6/14/2012 1121214 $10,940.00 $9,451.24 $1,488.76
2/10/2014 18721142 $15,740.00 $0.00 $15,740.00
11/17/2011 8737167 $15,380.00 $4,692.22 $10,687.78
7/30/2013 16497993 $15,180.00 $13,780.00 $1,400.00
3/12/2012 9749286 $12,780.00 $12,630.00 $150.00
1/8/2013 14821012 $12,220.00 $11,044.00 $1,176.00
8/19/2013 16894155 $14,780.00 $1,856.00 $12,924.00
11/1/2013 17625560 $13,260.00 $0.00 $13,260.00
10/20/2013 1752226 $9,260.00 $0.00 $9,260.00
1/16/2013, 145192601 $15,900.00 $0.00 $15,900.001
2/11/20131 147948221 $15,980.001 $0.00, $15,980.001
In-House Accounts
4/26/2014 14-1021 $12,060.00 $0.00 $12,060.00
5/19/2014 14-1195 $9,660.00 $9,100.74 $559.26
7/5/2014 14-1572 $12,076.00 $10,466.53 $1,609.47
4/4/2014 14-808 $8,812.00 $8,100.46 $711.54
5/31/2014 14-1296 $15,580.00 $7,532.00 $8,048.00
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
Residag Fee WalwToals $1,156,816.001 $426.1018.841 $M,707.161