Item I1 L1
County �� � .�� �y,4 ' �, "tr, BOARD OF COUNTY COMMISSIONERS
Mayor David Rice,District 4
�1 `ll Mayor Pro Tem CraigCates,District 1
The Florida Keys ��� `� � Michelle Coldiron,District 2
Eddie Martinez,District 3
w � Holly Merrill Raschein,District 5
County Commission Meeting
December 3, 2021
Agenda Item Number: I.1
Agenda Item Summary #3324
BULK ITEM: No DEPARTMENT: Emergency Services
TIME APPROXIMATE: STAFF CONTACT: Steven Hudson (305) 289-6342
N/A
AGENDA ITEM WORDING: BOG approval to award the annual lump sum bonus to the Billing
Staff in the amount of 10% of unloaded base salaries for billing collections for Monroe County
Trauma Star Air and Ground Ambulance Transports; based on an average collection rate of 46.11%,
for the period May 1, 2020 to April 30, 2021, as compared to the baseline collection rate of 33.70%.
ITEM BACKGROUND:
In December 2013, the BOCC and BOG 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 BOCC passed Resolution 100-2014 establishing a
financial incentive program in order to incentivize billing employees to increase collections.
7/15/15 (Item Not Available): MCBOCC passed Resolution 182-2015 to clarify the
baseline collection time period.
6/21/17 (Item C.1): MCBOCC passed Resolution 158-2017 which rescinded Resolution
100-2014 and 182-2015 and set forth the revised bonus [financial incentive] program.
8/21/19 (Item C.34): MCBOCC passed Resolution 222-2019 which rescinded Resolution
158-2017 and set forth the revised billing bonus (financial incentive)program to clarify language
to satisfy the Clerk's audit findings.
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
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DOCUMENTATION:
In House Collection Rates May 012020 through April 30 2021 v2
ANNUAL EMS BILLING BONUS SUMMARY-2021
FINANCIAL IMPACT:
Effective Date: 12/08/21
Expiration Date: N/A
Total Dollar Value of Contract: N/A
Total Cost to County: $11,600.00
Current Year Portion: $11,600.00
Budgeted: Yes
Source of Funds: 11001 (78%); 11500 (22%)
CPI: N/A
Indirect Costs: N/A
Estimated Ongoing Costs Not Included in above dollar amounts: N/A
Revenue Producing: N/A If yes, amount: N/A
Grant: N/A
County Match: N/A
Insurance Required: N/A
Additional Details: N/A
This bonus is based upon an average collection rate of 46.11% for air and ground ambulance
charges for the evaluation period from May 1, 2020 to April 30, 2021, 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 (10%) Supervisor(Stitt)
$4,800.00 (10%) Specialist(Burgess)
$11,600.00 Total
06/17/21 141-11500 FIRE& RESCUE CENTRAL $2,552.00
510120 (22%)
12/08/21 101-11001 MEDICAL AIR TRANSPORT $9,048.00
510120 (78%)
Total: $11,600.00
REVIEWED BY:
Jim Molenaar Completed 11/23/2021 9:39 AM
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Steven Hudson Completed 11/23/2021 1:51 PM
Purchasing Completed 11/23/2021 2:08 PM
Budget and Finance Completed 11/23/2021 2:12 PM
Maria Slavik Completed 11/23/2021 2:29 PM
Liz Yongue Completed 11/23/2021 2:51 PM
Board of County Commissioners Pending 12/08/2021 9:00 AM
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ANNUAL EMS BILLING BONUS SUMMARY
MAY 01, 2020 THROUGH APRIL 30, 2021
N
a)
N
00
2020 2021
Gross Non- Medicaid Charges $19,634,901.60 $21,645,965.20
0
Non-Medicaid AIR Adjustments ($6,093,754.27) ($5,379,222.90)
Non-Medicaid GROUND ($194,880.17) ($191,194.49)
Adjustments
Trauma Star Resident Waivers ($1,790,734.02) ($1,421,345.58)
Net-Non-Medicaid Charges $11,555,533.14 $14,654,202.23
Gross Non-Medicaid Deposits $7,967393.19 $6,757,236.88
Non-lViedicaid Collection Ratio 68.9.5% 46.11% o
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