Item I5 �5 L5
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County of Monroe
�y,4 ' �, "tr, BOARD OF COUNTY COMMISSIONERS
County �a� 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 8, 2021
Agenda Item Number: I.5
Agenda Item Summary #10025
BULK ITEM: No DEPARTMENT: Emergency Services
TIME APPROXIMATE: STAFF CONTACT: Steven Hudson (305) 289-6342
N/A
AGENDA ITEM WORDING: BOG approval of Resolution authorizing the write-off of 32 Fire
Rescue workers compensation ground ambulance accounts receivable with dates of service from
April 1, 2014 through August 31, 2020 that meet the criteria, totaling $6,531.61 from Fire and
Ambulance District 1 L&M Fund(141).
ITEM BACKGROUND: Monroe County bills the appropriate workers compensation insurance
provider for transports covered by workers compensation. Once payment is received from the
workers compensation insurer, the remaining balance remains on the books as an outstanding
accounts receivable balance as it cannot be billed to the patient. Writing off outstanding
uncollectible workers compensation balances allows for the accounts receivable aging report to be
more representative of the actual status of collections and clears the books. The attached Resolution
authorizes the write-off of the balances of 32 ground ambulance workers compensation accounts
totaling $6,531.61, with dates of service from April 1, 2014 through August 31, 2020 that meet the
criteria(see attached Exhibit A).
PREVIOUS RELEVANT BOCC ACTION: None
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
Resolution BOG 2021 - EMS Ground Ambulance Workers Compensation (Rev)
EXHIBIT A - EMS Ground Workers Comp
FINANCIAL IMPACT:
Effective Date: 12/08/2021
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Expiration Date: N/A
Total Dollar Value of Contract: N/A
Total Cost to County: N/A
Current Year Portion: N/A
Budgeted: N/A
Source of Funds: Fund 141, Cost Center 11500
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
REVIEWED BY:
Jim Molenaar Completed 11/24/2021 2:42 PM
Steven Hudson Completed 11/24/2021 2:50 PM
Purchasing Completed 11/24/2021 2:52 PM
Budget and Finance Completed 11/29/2021 10:13 AM
Maria Slavik Completed 11/29/2021 11:27 AM
Liz Yongue Completed 11/29/2021 11:48 AM
Board of County Commissioners Pending 12/08/2021 9:00 AM
Packet Pg. 1985
1.5.a
RESOLUTION NO. -2021
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A RESOLUTION OF THE
BOARD OF GOVERNORS FIRE AND AMBULANCE DISTRICT 1
OF MONROE COUNTY, FLORIDA
AUTHORIZING THE WRITE-OFF OF FIRE RESCUE
GROUND AMBULANCE WORKERS COMPENSATION ACCOUNTS
2
RECEIVABLE
FOR DATE OF SERVICE FROM APRIL 1, 2014 THROUGH AUGUST
31, 2020
WHEREAS, Monroe County Fire Rescue Services provides ground ambulance service;
and, T
WHEREAS, Monroe County Fire Rescue Billing Department bills the appropriate
workers compensation insurance provider for ground ambulance service where the payor is
specified as workers compensation;
and,
WHEREAS, payment is made by the workers compensation insurer to Monroe County
Fire Rescue Billing Department and outstanding balances are not able to be billed to the patient;
and, 0
WHEREAS, Monroe County Fire Rescue Billing Department desires to write off the
uncollectible balances of these ground ambulance workers compensation accounts receivables at
this time; c
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF GOVERNORS OF
FIRE AND AMBULANCE DISTRICT 1 OF MONROE COUNTY, FLORIDA:
Receivables for ground ambulance workers compensation accounts listed on
attached Exhibit A in the amount of$6,531.61 shall be deleted from the Fire and
Ambulance District 1 L&M Fund (141).
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Packet Pg. 1986
1.5.a
PASSED AND ADOPTED by the Board of Governors, Fire and Ambulance District 1 of 0
Monroe County,Florida, at a regular meeting of said Board held on the 8th day of December,2021. r_
Mayor of Layton, Bruce Halle
Vice Mayor of Layton, Greg Lewis
Commissioner,Michelle Coldiron c
Commissioner, Eddie Martinez 2
Commissioner,Holly Merrill Raschein
ca
(SEAL) BOARD OF GOVERNORS,FIRE AND
ATTEST: KEVIN MADOK,CLERK AMBULANCE DISTRICT 1 OF MONROE r"
COUNTY,FLORIDA
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By:
Deputy Clerk By:
Mayor/Chairman 5
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MONROE COUNTY ATTORNEY:
By:
Assistant County Attorney
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MONROE COUNTY ATTORNEY 0
APPROVE AS TO FORM
JAMES MPLENAAR
ASSISTANT COUNTY ATTORNEY
Date. ____
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EXHIBIT A
Monroe County Fire Recue
EMS Ground Accounts with Workers Comp Balances
Account Receivable Write Offs
0
EMS GROUND WORKERS COMP WRITE OFFS
(DOS: 04/01/2014-08/31/2020)
TRIP DATE RUN # BALANCE DUE
7/25/2015 2002 $159.48
8/17/2015 2204 $409.96
9/14/2015 2461 $179.29
9/27/2015 2565 $404.68
1/24/2016 245 $258.33
4/21/2016 1178 $406.20
4/21/2016 1179 $6.40
5/13/2016 1340 $30.24 c
6/9/2016 1557 $31.20
6/21/2016 1672 $428.17
6/27/2016 1722 $151.20
7/4/2016 1791 $32.40 >
10/7/2016 2644 $150.96 c
10/20/2016 2737 $415.05
2/11/2017 430 $150.96
3/30/2017 948 $172.08
5/4/2017 1276 $441.17
5/17/2017 1394 $150.00 c
6/5/2017 1613 $373.83
6/20/2017 1769 $2.02
6/21/2017 1777 $201.02 c
10/8/2017 2897 $166.04
10/20/2017 3039 $343.60
1/15/2018 127 $215.31
1/30/2018 300 $293.60
5/24/2018 1505 $168.36
9/10/2018 2520 $2.26 _
10/21/2018 2926 $194.64
12/11/2018 3449 $163.44
2/23/2019 563 $204.36
3/10/2019 728 $30.96
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3/13/2019 760 $194.40
Total 32 $6,531.61
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Packet Pg. 1989