Item V02 �5 v.z
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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: V.2
Agenda Item Summary #10026
BULK ITEM: Yes DEPARTMENT: Emergency Services
TIME APPROXIMATE: STAFF CONTACT: Steven Hudson (305) 289-6342
N/A
AGENDA ITEM WORDING: BOCC approval of Resolution authorizing the write-off of 29 Fire
Rescue air ambulance workers compensation accounts receivable with dates of service from April 1,
2014 through August 31, 2020 that meet the criteria, totaling $314,183.09 from Fine and Forfeiture
Fund (101).
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 29 air ambulance workers compensation accounts totaling
$314,183.09, 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 2021 - Trauma Star WC Write Offs (Rev)
EXHIBIT A - Trauma Star 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 101, Cost Center 11001
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 2:23 PM
Steven Hudson Completed 11/24/2021 2:45 PM
Purchasing Completed 11/24/2021 2:51 PM
Budget and Finance Completed 11/29/2021 10:13 AM
Maria Slavik Completed 11/29/2021 11:26 AM
Liz Yongue Completed 11/29/2021 11:37 AM
Board of County Commissioners Pending 12/08/2021 9:00 AM
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RESOLUTION NO. -2021
A RESOLUTION OF c
THE BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
AUTHORIZING THE WRITE-OFF OF
TRAUMA AIR AMBULANCE WORKERS COMPENSATION ACCOUNTS
FOR DATE OF SERVICE
FROM APRIL 1, 2014 THROUGH AUGUST 31, 2020 c
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WHEREAS, Monroe County Fire Rescue Services provides air ambulance service; and
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WHEREAS, Monroe County Fire Rescue Billing Department bills the appropriate 6
workers compensation insurance provider for ground ambulance service where the payor is 2
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,
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;
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA:
1. Receivables for air ambulance workers compensation accounts listed on attached Exhibit A in t�
the amount of$314,183.09 shall be deleted from the Fine and Forfeiture Fund (101).
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PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, at a regular meeting of said Board held on the 8th day of December, 2021.
Mayor David Rice
Mayor Pro Tem Craig Cates E
Commissioner Michelle Coldiron
Commissioner Eddie Martinez
Commissioner Holly Merrill C
Raschein
0
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(SEAL) BOARD OF COUNTY
2
ATTEST: KEVIN MADOK, CLERK COMMISSIONERS OF MONROE
COUNTY, FLORIDA
By: --
Deputy Clerk By:
Mayor/Chairman
MONROE COUNTY ATTORNEY:
By:
Assistant County Attorney
MONROE COUNTY ATTORNEY
PPROVE D AS TO FORM
JAMES Al JENAAR
,ASSISTANT C NTH'ATTORNEY
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EXHIBIT A ?
Monroe County Fire Recue
Air Ambulance (Trauma Star)
Workers Comp Accounts Write Offs
AIR WORKERS COMP WRITE OFFS
4/01/2014 - 08/31/2020
TRIP DATE RUIN CHARGES ADJUSTMENTS' PAYMENTS REFUNDS BALANCE DUE
2/11/2015 437 $9,660.00 $0.00 $4,024.38 $0.00 $5,635.62
4/13/2015 1047 $15,740.00 $0.00 $6,687.98 $0.00 $9,052.02
5/10/2016 1317 $17,060.00 $0.00 $3,985.32 $0.00 $13,074.68
6/2/2016 1499 $21,150.00 $0.00 $8,427.49 $0.00 $12,722.51
10/1/2016 2592 $17,200.00 $0.00 $4,111.90 $0.00 $13,088.10
12/21/2016 3314 $20,300.00 $0.00 $5,752.90 $0.00 $14,547.10 c
1/6/2017 60 $16,660.00 $0.00 $3,860.52 $0.00 $12,799.48
2/23/2017 540 $24,800.00 $0.00 $19,840.00 $0.00 $4,960.00
5/26/2017 1508 $17,200.00 $0.00 $13,209.60 $0.00 $3,990.40
6/8/2017 1640 $20,300.00 $0.00 $5,258.43 $0.00 $15,041.57 '
6/15/2017 1715 $21,110.00 $0.00 $21,047.00 $0.00 $63.00
7/5/2017 1933 $23,100.00 $0.00 $9,145.11 $0.00 $13,954.89 c
11/1/2017 3174 $21,110.00 $0.00 $6,169.74 $0.00 $14,940.26
11/22/2017 3402 $21,110.00 $0.00 $6,169.74 $0.00 $14,940.26
12/31/2017 3845 $23,100.00 $0.00 $7,024.72 $0.00 $16,075.28
1/15/2018 134 $24,800.00 $0.00 $6,522.51 $0.00 $18,277.49
1/16/2018 153 $24,800.00 $0.00 $7,751.46 $0.00 $17,048.54
5/9/2018 1374 $21,500.00 $0.00 $23,740.00 $6,540.00 $4,300.00
5/29/2018 1536 $20,000.00 $0.00 $5,444.33 $0.00 $14,555.67
5/30/2018 1547 $21,110.00 $0.00 $8,547.94 $0.00 $12,562.06 c
6/2/2018 1585 $24,800.00 $0.00 $5,235.08 $0.00 $19,564.92
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6/6/2018 1622 $20,200.00 $0.00 $30,582.45 $10,382.45 $0.00
7/4/2018 1877 $21,500.00 $0.00 $5,570.36 $0.00 $15,929.64
7/20/2018 2029 $17,200.00 $0.00 $3,480.24 $0.00 $13,719.76
8/6/2018 2197 $21,110.00 $0.00 $21,110.00 $0.00 $0.00
9/10/2018 2522 $24,200.00 $0.00 $16,392.00 $0.00 $7,808.00
10/10/2018 2815 $16,100.00 $0.00 $4,032.28 $0.00 $12,067.72
2/14/2019 450 $17,600.00 $0.00 $7,503.88 $0.00 $10,096.12
6/1/2019 1540 $16,840.00 $0.00 $13,472.00 $0.00 $3,368.00
TOTAL 29 $581 360.00 $0.00 $284,099 36 $16,922.45 $314,183.6§1 t=
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