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Resolution 476-2021 RESOLUTION NO.476-2021 A RESOLUTION OF 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 WHEREAS,Monroe County Fire Rescue Services provides air ambulance service; and WHEREAS, Monroe County Fire Rescue Billing Department bills the appropriate workers compensation insurance provider for air 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, WHEREAS, Monroe County Fire Rescue Billing Department desires to write off the uncollectible balances of these air 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 the amount of$314,183.09 shall be deleted from the Fine and Forfeiture Fund (101). 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 Yes Mayor Pro Tern Craig Cates Yes Commissioner Michelle Coldiron Yes Commissioner District 3 vacant ^� Commissioner Holly Merrill Raschein Yes e cr-'--- ,,,,,,,, . p,,, VLA 'a `_ � its P tL BOARD OF COUNTY 1' 4%, -S t 4''. N MADOK, CLERK COMMISSIONERS OF MONROE pO :gip---% e ''o. i�° COUNTY,FLORIDA / / By: As Deputy Clerk By: /0.254,;...........-- Mayor hairman M LI E~ c1 c-E Eii -, 0� a- = MONROE COUNTY ATTORNEY U O `^ t-=' PPROVED AS TO FORM 0 --, — JAMES M ENAAR ASSISTANT CO NTY ATTORNEY Date: 12/2/21 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 RUN 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 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 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 6/2/2018 1585 $24,800.00 $0.00 $5,235.08 $0.00 $19,564.92 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 $681,360.00 $0.00 $2 4,099..36 $16,9222.45 $314,183.09