Item C08
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: September 18. 2003
Division: Public Safety
Bulk Item: Yes X No Department: Emergency Management
AGENDA ITEM WORDING: Approval to pay American Medical Response (AMR) for ambulance
transportation to evacuate Persons with Special Medical Needs (PSMN) during Monroe County's
response to and recovery from Hurricane Michelle in November 2001, in the amount of $20,000.00, and
approval of a resolution transferring funds
ITEM BACKGROUND: During Monroe County's response to Hurricane Michelle in November
2001, AMR provided ambulances to evacuate individuals of the Monroe County PSMN Registry from
various sites within Monroe County to the hurricane shelter located at Florida International University
and to other health care facilities in southeast Florida. After the evacuation was lifted, AMR
transported them back to their original locations. AMR has attempted to collect from all other sources,
i.e. private insurance, Medicaid, Medicare and self-pay for the ambulance transportation. The total
amount initially due was $28,385.00. The company was able to collect $4,245, leaving a balance due of
$24,140. AMR has agreed to accept a settlement amount of$20,000.00.
PREVIOUS RELEVANT BOCC ACTION: None
CONTRACT/AGREEMENT CHANGES:
This is not a contract
STAFF RECOMMENDATIONS: Approval
TOTAL COST: $20.000.00 BUDGETED: Yes No X
Transfer from General
COST TO COUNTY: $20.000.00 SOURCE OF FUNDS: Revenue Reserves
REVENUE PRODUCING: Yes No X AMOUNTPERMONTH_ Year
APPROVED BY: County Atty N/A OMB/Purchasing N/A Risk Management N/A
DOCUMENTATION:
Included ~
/
(
"-
James R. "Reggie" Paros
DIVISION DIRECTOR APPROVAL:
To Follow
Not Required_
DISPOSITION:
AGENDA ITEM #C8
Resolution No.
- 2003
A RESOLUTION CONCERNING THE TRANSFER OF FUNDS
WHEREAS, it is necessary for the Board of County Commissioners of Monroe County,
Florida, to make budgeted transfers in the Monroe County Budget for the Fiscal Year
2003, therefore,
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, that there shall be transfers of amounts previously
set up in the Monroe County Budget for the Fiscal Year 2003 as, hereinafter set forth to
and from the following accounts:
Fund #001- General Fund
From: 001-5900-85500-590990 Other Uses
Cost Center # 85500- Reserves 001
For the Amount: $20,000.00
To: 001-5250-13500-530490 Miscellaneous
Cost Center # 13500- Emergency Management
BE IT FURTHER RESOLVED BY SAID BOARD, that the Clerk of said Board, upon
receipt of the above, is hereby authorized and directed to make the necessary changes of
said items, as set forth above.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, at a regular meeting of said Board held on the 1 th day of September AD 2003.
Mayor Spehar
Mayor Pro Tern Nelson
Commissioner McCoy
Commissioner Neugent
Commissioner Rice
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By:
Mayor/Chairman
(Seal)
Attest: DANNY L. KOLHAGE, Clerk
AMR reso 8/29/2003 Page 1
AMERICAN MEDICAL RESPONSE
~ --
August 27, 2003
James R. ParDs - Director
Public Safety Monroe COUnty
9400 Overseas Hwy Suite 200
Marathon, FI. 33050
Mr. Paros,
This letter is a follow up to our discussion regarding the outstanding invoice regarding
evacuation for medical special need patient transported on November 4 200 I.
American Medical Response has decided to accept a settlement of $20,000 from Monroe
County to clear up any outstanding balances.
Sincerely,
,;;~ ~ I ! /,
Brian W. Haff Iff
EMS Chief
AMR Key West Rescue
Z;O 39~d
1414 III Street, Key West, FL 33040
(305) 29Ci'<401 . (305) 293-9121
3nJ53Cl 153M ^3>f
13L9Z;96(;S13E{
9~:EI E013(;ILZ;/813
Sent By: B 0 C C;
1 305 2B9 6336;
Aug - B - 03 15: 54 ;
Page 1
DATE:
~
July 1, 2003
REceIVED
JUL 02 2D03
aY:~
~'RF- R~sCUE'
J
TO:
FROM:
Darice Hayes \;
Daisy Garcia, PBS Superviso~
RE: Monroe County
Ms. Hayes.
I have enclosed the remaining accounts from the Hurricane evacuation of November
2001. See report with attached proof of filing to the insurance Companies and the
patients per agreement.
Should you have any questions please do not hesitate to contact me.
Thank you in advance for the prompt attention in this matter.
Daisy
~-
==- . .. .." . .::" :::.:~
AMERICAN MEDICAL RESPONSE
Daisy Gar!!'.
P<tl.t~n' AIJ~inElss Service Sup{jrvlsor
125f1 NW. 19111 ~trP,l!t. Blag C, Miami. Fl 3312f:i
1'11""8 (305) 71 ~421 . FilA 13U!>1 592-1277
E-mail: 1l.H~y...p.R.riAillArn.-Gms.com
AMR OF FLORIDA
OUT S TAN DIN G PAY 0 R D ETA I L R E P 0 R T
CONTRACT, M62A MONROE COUNTY EMER MANAGEMENT
ADDRESS: 490 63 STREET STE 170
ATTN, ACCOUNT PAYABLE
MARATHON, FL 33050
TRIP STAT, A
TRIP STAT, NEMER: N
0ATE L6/1J/2003 09,20
SELECT BY DIV, A
BREAKDOWN BY - DIV: N
LOB, A
LOB, N
TOB: A
TOB, N
CONT, Y
CONT, Y
DOS
TRIP NUMBER
PATIENT NAME
====================================================================================================================================
PAYMENTS
h___ LAST BILL
BALANCE DATE TYPE
11/03/2001 SFL-11398455-00 INNIS, JANET
POLICY NO,
FR LOC, 28 EMERALD DR
BIG COPPITT FIRE STATIOM
TO LOC, FlU CAMPUS
11/03/2001 SFL-11398456-00 ERICKSON, AlMAR
POLICY NO,
FR LOC, 28 EMERALD DR
BIG COPPITT FIRE STATIOM
TO LOC, FlU CAMPUS
11/03/2001 SFL-11398458-00 WELTERS, MARGUERITE
POLICY NO,
FR LOC, 809 WHITEHEAD STREET
TO LOC, FlU CAMPUS
11/03/2001 SFL-11398462-00 KEENEN, PATRICIA
POLICY NO,
FR LOC: 20950 OVERSEAS HW
CUDJOE SHERIFF'S SUBSTATIOM
TO LOC, FlU CAMPUS
11/03/2001 SFL-11398465-00 MCLAREN, ETHEL
POLICY NO,
FR LOC, BIG PINE FIRE STATION
TO LOC: FlU CAMPUS
11/03/2001 SFL-11398471-00 HAUBELL, ALBERTA
POLICY NO:
FR LOC: CONCH KEY FIRE STATION
TO LOC: FlU CAMPUS
11/03/2001 SFL-11398473-00 GASSER, MILDRED
CHARGES
ALLOWED
662.50 662.50
AUTHORIZATION:
CALLER NAME
662.50 662.50
AUTHORIZATION:
CALLER NAME
722.50 722.50
AUTHORIZATION:
CALLER NAME
1,067.50 1,067.50
AUTHORIZATION,
CALLER NAME
992.50 992.50
AUTHORIZATION,
CALLER NAME
777.50 777.50
AUTHORIZATION:
CALLER NAME
617.50
617.50
MBPAYR
PAGE
2
FROM D.O.S.
00/00/0000 TO, 99/99/9999
0.00 662.50 04/11/2003 INVOICE
REFERENCE ID
0.00 662.50 04/11/2003 INVOICE
REFERENCE ID
0.00 722.50 04/11/2003 INVOICE
REFERENCE ID
0.00 1,067.50 04/15/2003 INVOICE
REFERENCE ID
0.00 992.50 04/11/2003 INVOICE
REFERENCE ID
0.00 777.50 04/11/2003 INVOICE
REFERENCE ID
0.00
617.50 04/11/2003 INVOICE
AMR OF FLORIDA
OUT S TAN DIN G PAY 0 R D ETA I L R E P 0 R T
CONTRACT, M62A MONROE COUNTY EMER MANAGEMENT
ADDRESS, 490 63 STREET STE 170
ATTN, ACCOUNT PAYABLE
MARATHON, FL 33050
TRIP STAT, A
TRIP STAT: NEMER: N
DATE 06/19/2003 09:20
SELECT BY DIV: A
BREAKDOWN BY - DIV, N
LOB, A
LOB: N
TOB: A
TOB: N
CONT: Y
CONT: Y
DOS
TRIP NUMBER
PATIENT NAME
CHARGES
ALLOWED
====================================================================================================================================
PAYMENTS
- - - -- LAST BILL
BALANCE DATE TYPE
POLICY NO:
FR LOC: ISLAMORADA FIRE STATION
AUTHORIZATION,
CALLER NAME
TO LOC: FlU
11/03/2001 SFL-11398475-00 ONEAL, VERNON
POLICY NO:
FR LOC: KEY LARGO AMBULANCE
490.00 490.00
AUTHORIZATION:
CALLER NAME
TO LOC: FlU CAMPUS
11/03/2001 SFL-11398477-00 LEEDS, LORE
POLICY NO:
FR LOC: KEY LARGO AMBULANCE
490.00 490.00
AUTHORIZATION,
CALLER NAME
TO LOC: FlU CAMPUS
11/03/2001 SFL-11398601-00 WELTERS, JOSEPH
POLICY NO:
FR LOC: 809 WHITEHEAD S
722.50 722.50
AUTHORIZATION:
CALLER NAME
TO LOC: FIUSOUTH CAMPUS
11/04/2001 SFL-l13 9845 9- 00 ANKETELL, JAMES
POLICY NO:
FR LOC: 28 EMERALD DR
TO LOC, KENDALL MEDICAL CENTER
11750 BIRD RD
11/04/2001 SFL-11398460-00 GAMBLE, HENRY
POLICY NO,
FR LOC: 28 EMERALD DR
TO LOC: KENDALL MEDICAL CENTER
11750 BIRD RD
11/04/2001 SFL-11398461-00 ZETTING, ROSEMARY
POLICY NO,
FR LOC, 28 EMERALD DR
687.50 687.50
AUTHORIZATION,
CALLER NAME
1,337.50 1,337.50
AUTHORIZATION,
CALLER NAME
687.50 687.50
AUTHORIZATION,
CALLER NAME
MBPAYR PAGE
FROM D.O.S.
00/00/0000 TO, 99/99/9999
REFERENCE ID
0.00 490.00 04/11/2003 INVOICE
REFERENCE ID
0.00 490.00 04/11/2003 INVOICE
REFERENCE ID
0.00 722.50 04/11/2003 INVOICE
REFERENCE ID
0.00 687.50 04/11/2003 INVOICE
REFERENCE ID
0.00 1,337.50 04/15/2003 INVOICE
REFERENCE ID
0.00 687.50 04/11/2003 INVOICE
REFERENCE ID
AMR OF FLORIDA
OUT S TAN DIN G PAY 0 R D ETA I L R E P 0 R T
CONTRACT: M62A MONROE COUNTY EMER MANAGEMENT
ADDRESS: 490 63 STREET STE 170
ATTN: ACCOUNT PAYABLE
MARATHON, FL 33050
TRIP STAT: A
TRIP STAT: NEMER: N
DATE 06/19/2003 09:20
***
SELECT BY DIV: A
BREAKDOWN BY - DIV: N
LOB: A
LOB: N
TOB: A
TOB: N
CONT: Y
CONT: Y
DOS
TRIP NUMBER
PATIENT NAME
CHARGES
ALLOWED
===============================================================================================================================~====
PAYMENTS
_h__ LAST BILL
BALANCE DATE TYPE
TO LOC: HEALTHCARE & WELLNESS CTR
11200 SW 8 ST
11/04/2001 SFL-11398657-00 ATKINS, GWENDOLYN
POLICY NO:
FR LOC: 3027 RIVERA DRIVE
KEY WEST, FL 33040-4392
TO LOC: KENDALL MEDICAL CENTER
11 750 BIRD RD
1,325.00 1,325.00
AUTHORIZATION:
CALLER NAME
11/04/2001 SFL-11398694-00 BRECKER, OWEN
POLICY NO:
FR LOC: 1413 ELIZA STREET
1,430.00 1,430.00
AUTHORIZATION:
CALLER NAME
TO LOC: KENDALL MEDICAL CENTER
11750 BIRD RD
11/04/2001 SFL-11398818-00 WELTERS, JOSEPH
POLICY NO:
FR LOC: FlU SOUTH CAMPUS
CHARLES PERRY BUILDING
TO LOC: MANOR PINES
1701 NE 26 ST
347.50 347.50
AUTHORIZATION:
CALLER NAME
11/04/2001 SFL-11398827-00 HAUBELL, ALBERTA
POLICY NO:
FR LOC: FlU SOUTH CAMPUS
CHARLES PERRY BUILDING
TO LOC: MANOR PINES
1701 NE 26 ST
347.50 347.50
AUTHORIZATION:
CALLE1~ NAME
11/04/2001 SFL-11398829-00 LARSSON, HAROLD
POLICY NO:
FR LOC: FlU SOUTH CAMPUS
CHARLES PERRY BUILDING
TO LOC: MANOR PINES
1701 NE 26 ST
347.50 347.50
AUTHORIZATION:
CALLER NAME
11/04/2001 SFL-11398834-00 KEENEN, PATRICIA
POLICY NO:
FR LOC: FlU SOUTH CAMPUS
512.50 512.50
AUTHORIZATION:
CALLER NAME
TO LOC: MANOR PINES
1701 NE 26 ST
MBPAYR
PAGE
***
FROM D.O.S.
00/00/0000
TO: 99/99/9999
0.00 1,325.00 04/11/2003 INVOICE
REFERENCE ID
0.00 1,430.00 04/11/2003 INVOICE
REFERENCE ID
0.00 347.50 04/11/2003 INVOICE
REFERENCE ID
0.00 347.50 04/11/2003 INVOICE
REFERENCE ID
0.00 347.50 04/11/2003 INVOICE
REFERENCE ID
0.00 512.50 04/11/2003 INVOICE
REFERENCE ID
DATE 06/19/2003 09:20
AMR OF FLORIDA
OUT S TAN DIN G PAY 0 R D ETA I L R E P 0 R T
CONTRACT: M62A MONROE COUNTY EMER MANAGEMENT
ADDRESS: 490 63 STREET STE 170
ATTN: ACCOUNT PAYABLE
MARATHON, FL 33050
TRIP STAT: A
TRIP STAT: NEMER: N
MBPAYR
PAGE
5
SELECT BY DIV: A
BREAKDOWN BY - DIV: N
LOB: A
LOB: N
TOB: A
TOB: N
CONT: Y
CONT: Y
FROM D.O.S.
00/00/0000 TO: 99/99/9999
DOS
TRIP NUMBER
PATIENT NAME
CHARGES
ALLOWED
PAYMENTS
- - - -- LAST BILL
BALANCE DATE TYPE
====================================================================================================================================
11/04/2001 SFL-11398954-00 WELTERS, MARGUERITE 34 7.50 347.50 0.00 347.50 04/14/2003 INVOICE
POLICY NO: AUTHORIZATION:
FR LOC: FlU SOUTH CAMPUS CALLER NAME REFERENCE ID
CHARLES PERRY BUILDING
TO LOC: MANOR PINES
1701 NE 26 ST
11/05/2001 SFL-11399073-00 WELTERS, JOSEPH 872.50 872.50 0.00 872.50 04/11/2003 INVOICE
POLICY NO: AUTHORIZATION: SEE BILL
FR LOC: MANOR PINES CALLER NAME REFERENCE ID
1701 NE 26 ST
TO LOC: 809 WHITEHEAD S
11/05/2001 SFL-11399075-00 HAUBELL, ALBERTA 662.50 662.50 0.00 662.50 04/11/2003 INVOICE
POLICY NO: AUTHORIZATION: SEE BILL
FR LOC: MANOR PINES CALLER NAME REFERENCE ID
1701 NE 26 ST
TO LOC: 59241 OVERSEAS
11/05/2001 SFL-11399391-00 ZETTING, ROSEMARY 1,175.00 1,175.00 0.00 1,175.00 04/11/2003 INVOICE
POLICY NO: AUTHORIZATION:
FR LOC: 10700 SW 16 ST CALLER NAME REFERENCE ID
PC BUILDING 2 FLOOR
TO LOC: 11 DIAMOND DR
11/05/2001 SFL-11399392-00 MCLAREN, ETHEL 992 .50 992.:'0 0.00 992.50 04/11/2003 INVOICE
POLICY NO: AUTHORIZATION:
FR LOC: 10700 SW 16 ST CALLER NAME REFERENCE ID
PC BUILDING 2 FLOOR
TO LOC: 31267 AVENUE B
11/05/2001 SFL-11399393-00 LEEDS, LORE 505.00 505.00 0.00 505.00 04/11/2003 INVOICE
POLICY NO: AUTHORIZATION:
FR LOC: 10700 SW 16 ST CALLER NAME REFERENCE ID
PC BUILDING 2 FLOOR
TO LOC: 901 S JADE DR
11/05/2001 SFL-11399394-00 ONEAL, VERNON 490.00 490.00 0.00 490.00 04/11/2003 INVOICE
POLICY NO: AUTHORIZATION:
FR LOC: 10700 SW 16 ST CALLER NAME REFERENCE ID
DATE 06/19/2003 09,20
AMR OF FLORIDA
OUT 5 TAN DIN G PAY 0 R D ETA I L R E P 0 R T
CONTRACT: M62A MONROE COUNTY EMER MANAGEMENT
ADDRESS: 490 63 STREET STE 170
ATTN: ACCOUNT PAYABLE
MARATHON, FL 33050
TRIP STAT: A
TRIP STAT: NEMER: N
MBPAYR
PAGE 6
SELECT BY DIV, A
BREAKDOWN BY ~ DIV, N
LOB, A
LOB: N
TOB, A
TOB, N
CONT: Y
CONT: Y
FROM D.O.S.
00/00/0000
TO, 99/99/9999
DOS
TRIP NUMBER
PATIENT NAME
CHARGES
ALLOWED
PAYMENTS
~ ~ -- - LAST BILL
BALANCE DATE TYPE
====================================================================================================================================
PC BUILDING 2 FLOOR
TO LOC, 54 SUNSET RD
11/05/2001 SFL-11399397-00 ERICKSON, AlMAR
POLICY NO:
FR LOC: 10700 SW 16 ST
PC BUILDING 2 FLOOR
TO LOC: BIG COPPIT FIRE
1,150.00 1,150.00
AUTHORIZATION:
CALLER NAME
0.00 1,150.00 04/11/2003 INVOICE
REFERENCE 10
11/05/2001 SFL-11399398~00 BROWN, KATHERINE
POLICY NO:
FR LOC: 10700 SW 16 ST
PC BUILDING 2 FLOOR
TO LOC: 98751 OCEAN DR
490.00 490.00
AUTHORIZATION:
CALLER NAME
0.00 490.00 04/11/2003 INVOICE
REFERENCE ID
11/05/2001 SFL~11399892~00 BRECKER, OWEN
POLICY NO:
FR LOC: KENDALL MEDICAL CENTER
11750 BIRD RD
TO LOC: 1413 ELIZA STREET
1,315.00 1,315.00
AUTHORIZATION:
CALLER NAME
0.00 1,315.00 04/11/2003 INVOICE
REFERENCE ID
11/05/2001 SFL~11399921~00 ATKINS, GWENDOLYN
POLICY NO:
FR LOC: KENDALL MEDICAL CENTER
11750 BIRD RD
TO LOC, 3027 RIVIERA DR
762.50 762.50
AUTHORIZATION:
CALLER NAME
0.00 762.50 04/11/2003 INVOICE
REFERENCE ID
11/05/2001 SFL~11400497~00 ANKETELL, JAMES
POLICY NO:
FR LOC: KENDALL MEDICAL CENTER
11750 BIRD RD
TO LOC: 28 EMERALD DR~K
1,150.00 1,150.00
AUTHORIZATION,
CALLER NAME
0.00 1,150.00 04/11/2003 INVOICE
REFERENCE 10
------------ ------------
*** CONT M62A TOTALS
II TRIPS:
31
24,140.00
24,140.00
0.00
24,140.00
Sent By: B 0 C C;
OO.~~lY ~o~~~E
130$1294-4<<141
OFFTCE OF:
PUBLIC SAFETY
490 63RD STREET, SUITE 140
MARA THON, FL. 33050
TELEPHONE: (305) 289.6002
FAX: (305) 289-6013
August 29, 2002
Brilln Haff
EMS Chief
Key West Rescue-AMR
1414 1 st Street
Kcy West, Florida 33040
1 305 289 6336;
Aug-8.0315:54;
Page 2
,- - ..--
BOARD OF COUNTY COMMISSIONERS
Miyar Ch4tles "SOMY" McCoy, Di:strict J
Mllyar Pro T~ Di.-ue M. Spew, Di$tnct I
G\,vrBc t-Iaagent, District Z
B\.Tt limcncr:. Di,t{1ct 4
MumlY E. Nc:I$01l. Di:rtrict 5
RE: Letter from Brian Haff dated August 28,2002 regarding
Outstanding Balance/Hurricane Evacuations
15~
Dear Mr-Waff:
You have indicated in your letter that all efforts have been made 10 collect from other sources,
Did thaI include attempting to collect from the patients themselve~ (~dr pay)?
For our review, ple~e provide accounts receivable detaib, lu l1all:.. for each individual account
showing all billings, listing all payments received/processed hy type (self pay, Medicare,
Medicaid, private insurance), reflccting write-offs llJld adjustments. reversals and ending balance.
As you are well aware. lht: Persons with Special Needs Registry, or which each of the patients
that was lransported is a registrant, is a program that is ongoing in our County. Therefore, the
approval of the Monroe County Board of County Commissioncr,~ rrobably will be required to
pay the invoices. Accordingly, a report will have to be prepl\rcd and presented to the Board
I:x.plaining the reasons that other sources, including the patients Ihcmselves, either didn't payor
refused/denied 10 pay the claims. The information contained in Ihe accounts receivltblt: Jetails
will be used in the. preparation of that report.
Awaiting your reply.
ames R. "Reggie" Paros, Director
Publjc Safety Division
Sent By: B 0 C Cj
1 305 269 6336j
Aug-B-03 15:54;
P8ge 3/4
g~~-~ -3
.-.-- --
~
AMERICAN MH>ICAl RESPONSE
August 28, 2002
Monroe County Emergency Management
490 63 Street Ste 170
Marathon. Florida 33050
Ann; Reggi~ Paras
Public Safety Director
RE.: Outstanding Balance I Humcane Evacuations
Dear Reggie Paros:
All efforts have been made to collect from other sources such Cl5 Private Insurance,
Medicaid, Medicare. The County of Monroe is now responsible for payment.
Your account balance of $28,385.00 is now due When submitting payment please use
the SFl number located on your invoice.
If you have any questions Or need additional information, please contact me at
305-292-8380.
Si~=- tft/
Brian Haff
EMS Chief
Key West Rescue
1414 1.' SI'e.l, t(ay Well. FL 33040
(30S) 2l/el.240, . (S05) ~3-0'2'
Hl 38~d
3Il::>~ 153M ^3>1
0L9C:'36C:SBEl
at:!t ~eeZ/8lla0