Item C30AGENDA ITEM SUMMARY
Meeting Date: September 21, 2012 Division: Emergency Services
Bulk Item: Yes X No _ Department: Fire Rescue
Staff Contact Person: Mary Napoli ext 6010
AGENDA ITEM WORDING: Approval of Resolution authorizing the write-off of Fire Rescue air
ambulance accounts receivable for CY 2008, in the total amount of $825,000.90 from the Fine and
Forfeiture Fund Account 101-115002.
ITEM BACKGROUND: Monroe County contracts with Advanced Data Processing Inc., (ADPI) for
air ambulance billing, and after 210 days of inactivity, these accounts were placed with Municipal
Services Bureau, our collection agency, to further attempt collection. Once a period of 3 years from the
date of incident has elapsed, and all efforts of collecting the debt have been exhausted, Monroe County
Finance Department directs we write-off these debts. The attached Resolution requests to write-off the
balances of these 95 accounts, in the total amount of $825,000.90, representing the period of January
2008 through December 2008. (See attached Exhibit A)
These debts represent accounts that it was determined that further collection efforts are fruitless as
insurance has paid the maximum allowable on these claims, and the service recipients are now either:
deceased with no available funds in the estate; in bankruptcy; a minor with no guardian or patient
found; uncollectible balances of Medicaid/Medicare; small exceptions balances; HMO balances;
patient financially indigent (homeless); foreign address; unwarranted transports (transport did not meet
the medical necessity criteria required by Medicaid); and/or refusals to pay. Even though this is written
off for accounting purposes, the collection agency will continue to attempt collections on these
accounts; if payments were to be received, revenue would be reinstated.
PREVIOUS RELEVANT BOCC ACTION: On August 18, 2010 Resolution No. 223-2010 authorized
the write off of Fire Rescue air ambulance accounts receivables in the total amount of $35,260.00. On
September 21, 2011 Resolution No. 249-2011 authorized the write off of Fire Rescue air ambulance
accounts receivables in the total amount of $780,782.79.
CONTRACT/AGREEMENT CHANGES: N/A
STAFF RECOMMENDATIONS: Approval.
TOTAL COST: N/A INDIRECT COST: BUDGETED: Yes No
DIFFERENTIAL OF LOCAL PREFERENCE: N/A
COST TO COUNTY: N/A SOURCE OF FUNDS: N/A
REVENUE PRODUCING: Yes No AMOUNT PER MONTH Year
APPROVED BY: County Atty'✓ OMB/Pur asing Risk Management
DOCUMENTATION: Included X Not Required
DISPOSITION: AGENDA ITEM #
Emergency Services
A RESOLUTION OF THE
• "1 OF COUNTY COMMISSIONERS
MONROE COUNTY, FLORIDA
4-wou A, A 1 I 1
WHEREAS, Monroe County Fire Rescue Services provides air ambulance service; and
WHEREAS, the Board of County Commissioners of Monroe County contracts with Advanced Data
Processing, Inc. (ADPI) for Rescue Ambulance Billing and Related Professional Services; and
WHEREAS, after 210 days of billing, accounts are placed with Municipal Services Bureau, a
collection agency, to further attempt collection; and
WHEREAS, once a period of 3 years from the date of the billable incident has elapsed, and all
efforts of collecting the debt have been exhausted, Monroe County Finance Department directs the write-off
of these debts; and
WHEREAS, a report was provided by Municipal Services Bureau on accounts that met the above
criteria, and were deemed uncollectible, for the time period of January 2008 through December 2008; and
WHEREAS, a report was provided by Advanced Data Processing, Inc. on accounts that it was
determined that further collection efforts are fruitless as insurance has paid the maximum allowable on these
claims, and the service recipients are now either deceased with no available funds in the estate, in
bankruptcy, a minor with no guardian or patient found, have uncollectible balances of Medicaid/Medicare,
and/or have small exceptions balances for the time period of January 2008 through December 2008.
WHEREAS, it is desired that these uncollectible air ambulance service accounts receivable be
written off at this time;
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA:
Receivables for air ambulance service accounts listed on attached Exhibit A in the amount of
$825,000.90 be deleted from the Fine and Forfeiture Fund Account 101-115002.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida, at
a regular meeting of said Board held on the _ _,® day of 12012.
Mayor David Rice
Mayor Pro Tern Kim Wigington
Commissioner George Neugent
Commissioner Heather Carruthers
Commissioner Sylvia Murphy
(SEAL)
BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA
Attest: DANNY L.KOLHAGE, Clerk By:
• A
Monroe County Fire Rescue Air Ambulance
Acct #
Date Of
Service
Original balance
(or Balance when
sent to collections L
Adjustments
Payments
Final Balance to
Write -Off
These accounts are with NISB
485-01
3/05/08
$ 11,860.00
$ -
$ -
$ 11,860.00
190008-01
9/19/08
$ 10,620.00
$ -
$ -
$ 10,620.00
854-01
5/10/08
$ 12,900.00
$ -
$ -
$ 12,900.00
115-01
1/20/08
$ 11,700.00
$ -
$ -
$ 11,700.00
31-01
1/07/08
$ 10,180.00
$ -
$ -
$ 10,180.00
250003-01
8/25/08
$ 10,330.00
$ -
$ -
$ 10,330.00
170002-01
9/17/08
$ 11,980.00
$ -
$ -
$ 11,980.00
152-01
1/27/08
$ 8,131.68
$ -
$ -
$ 8,131.68
1079-01
6/13/08
$ 10,180.00
$ -
$ -
$ 10,180.00
34-01
1/10/08
$ 13,220.00
$ -
$ -
$ 13,220.00
40003-01
10/04/08
$ 13,380.00
$ -
$ -
$ 13,380.00
250005-01
8/25/08
$ 11,100.00
$ -
$ -
$ 11,100.00
110001-02
9/11/08
$ 11,100.00
$ -
$ -
$ 11,100.00
160209-01
12/21/08
$ 9,853.10
$ -
$ -
$ 9,853.10
300003-01
9/30/08
$ 4,444.19
$ -
$ -
$ 4,444.19
160194-01
11/26/08
$ 13,100.00
$ -
$ -
$ 13,100.00
160199-01
12/03/08
$ 14,300.00
$ -
$ -
$ 14,300.00
160198-01
12/01/08
$ 14,380.00
$ -
$ -
$ 14,380.00
40006-01
8/04/08
$ 14,380.00
$ -
$ -
$ 14,380.00
160172-01
8/10/09
$ 15,180.00
$ -
$ -
$ 15,180.00
110002-01
9/11/08
$ 11,100.00
$ -
$ -
$ 11,100.00
100003-01
10/10/08
$ 13,900.00
$ -
$ -
$ 13,900.00
1048-01
6/09/08
$ 12,020.00
$ -
$ -
$ 12,020.00
22-01
1/05/08
$ 10,100.00
$ -
$ -
$ 10,100.00
221-01
2/05/08
$ 11,620.00
$ -
$ -
$ 11,620.00
531-01
3/21/08
$ 1,500.00
$ -
$ -
$ 1,500.00
529-01
3/21/08
$ 10,500.00
$ -
$ -
$ 10,500.00
188-01
1/30/08
$ 10,100.00
$ -
$ -
$ 10,100.00
114-01
1/13/08
$ 12,340.00
$ -
$ -
$ 12,340.00
405-01
3/03/08
$ 13,380.00
$ -
$ -
$ 13,380.00
728-01
4/18/08
$ 11,860.00
$ -
$ -
$ 11,860.00
577-01
3/28/08
$ 8,660.00
$ -
$ -
$ 8,660.00
860051-01
3/15/08
$ 11,700.00
$ -
$ -
$ 11,700.00
40004-01
7/04/08
$ 1,409.64
$ -
$ -
$ 1,409.64
1049-01
6/09/08
$ 12,020.00
$ -
$ -
$ 12,020.00
160215-01
12/30/08
$ 2,864.18
$ -
$ -
$ 2,864.18
MSB
TOTALS
$ 387,392.79
$
$
$387,392.79
Exhibit A: Page 1 of 3
Exhibit A
Monroe County Fire Rescue Air Ambulance
Date Of
Service
Original balance
(or Balance when
sent to collections)
ant
Adjustme
S
Payments
Final Balance to
Write -Off
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Exhibit A
Monroe County Fire Rescue Air Ambulance
Account Receivables for September 2012 Write off
Acct #
Date Of
Service
Original balance
(or Balance when
sent to collections)
Adjustment
s
Payments
Final Balance to
Write -Off
4000501
9/4/2008
$ 11,180.00
$ 4,131.79
$ 5,638.57
$ 1,409.64
15000101
9/15/2008
$ 10,620.00
$ -
$ -
$ 10,620.00
16000101
9/16/2008
$ 8,940.00
$ -
$ -
$ 8,940.00
26000301
9/26/2008
$ 13,580.00
$ -
$ -
$ 13,580.00
30000401
9/30/2008
$ 12,780.00
$ 5,116.79
$ 6,130.57
$ 1,532.64
23000401
10/23/2008
$ 9,980.00
$ -
$ 8,977.37
$ 1,002.63
25000101
10/25/2008
$ 8,940.00
$ -
$ 2,000.00
$ 6,940.00
16017901
10/31/2008
$ 9,020.00
$ -
$ 4,507.08
$ 4,512.92
16018801
11/21/2008
$ 10,700.00
$ -
$ 9,630.00
$ 1,070.00
16019001
11/24/2008
$ 14,300.00
$ -
$ -
$ 14,300.00
16019301
11/26/2008
$ 11,820.00
$ -
$ -
$ 11,820.00
16019501
11/29/2008
$ 14,380.00
$ -
$ -
$ 14,380.00
16019701
12/1 /2008
$ 11,180.00
$ -
$ -
$ 11,180.00
16020101
12/8/2008
$ 12,140.00
$ -
$ 11,627.76
$ 512.24
16020301
12/12/2008
$ 12,780.00
$ -
$ -
$ 12,780.00
16021401
12/26/2008
$ 14,300.00
$ -
$ 5,041.19
$ 9,258.81
ADPI
TOTALS
$ 63,10.00
$35,673.98
$169,897.91
$437,608.11
i -GRAND TOTALS
Exhibit A: Page 3 of 3