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AGENDA 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 40 qualified
Monroe County resident waivers from the trauma air ambulance account receivables in the total
amount of $336,969.86.
ITEM BACKGROUND: On May 20, 2009 Resolution No. 152-2009 was passed granting a fee
waiver policy for trauma star billing trauma scene and interfacility flights to Monroe County residents
once third party payments have been received. This is for trauma air ambulance flights that have
occurred after November 4, 2008. This Resolution approves the write off of the attached list of 40
Monroe County resident's accounts who have qualified to receive a waiver of out of pocket expenses
on air ambulance flights in the amount of $336,969.86 from December 8, 2008 to December 6, 2012.
(See attached Exhibit A). 53 resident fee waiver applications were approved in FY 2012 but 13
accounts were paid in full by the patients' insurance companies, leaving 40 accounts to be written off.
PREVIOUS RELEVANT BOCC ACTION: On May 20, 2009 the Board approved Resolution No.
152-2009 adopting a fee waiver policy and process for trauma star billing for trauma scene and critical care
interfacility flights for qualifying Monroe County residents for flights that occurred after November 4,
2008. On August 18, 2010 Resolution No. 247-2010 authorized the write off of Fire Rescue air ambulance
resident waivers in the total amount of $150,437.61.On October 19, 2011, Resolution No. 248-2011
authorized the write off of Fire Rescue air ambulance resident waivers in the total amount of $180,916.58.
43 resident fee waiver applications were approved in FY 2011 but 18 accounts were paid in full by the
patients' insurance companies, leaving 25 accounts to be written off.
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 t/oipurking Risk Management
DOCUMENTATION: Included X Not Required
DISPOSITION: AGENDA ITEM #
Revised 07/09
Emergency Services
RESOLUTION NO. -2012
A RESOLUTION OF THE
BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA AUTHORIZING
THE WRITE-OFF OF TRAUMA AIR AMBULANCE
RESIDENT WAIVER ACCOUNTS RECEIVABLE
WHEREAS, Monroe County Fire Rescue Services provides trauma air ambulance service; and
WHEREAS, on May 20, 2009 the Board approved Resolution No. 152-2009 adopting a fee waiver
policy and process for trauma star air ambulance billing or trauma scene and critical care interfacility flights
for qualifying Monroe County residents for flights that occurred after November, 4 2008; and
WHEREAS, the attached accounts have applied for the resident waiver; and
WHEREAS, the Board of County Commissioners of Monroe County contracts with Advanced Data
Processing, Inc. (ADPI) for trauma air Ambulance Billing and Related Professional Services; and
WHEREAS, a report was provided by Advanced Data Processing, Inc. on these accounts and it was
determined that all third party payments have been received and applied to their accounts, that the balances
constituted the amount remains after all third party payments had been credited to the account; and that
residents submitted sufficient documentation to qualify for the resident trauma air ambulance waiver; and
WHEREAS, it is desired that these resident waiver trauma air ambulance service accounts
receivable be written off at this time;
THEREFORE,BOARD OF COUNTY
COMMISSIONERSROFLORIDA:
Receivables for resident waiver air ambulance service 40 accounts listed on attached Exhibit A in
the amount of $336,969.86 shall be deleted from the Fine and Forfeiture Fund Account 101-11500.
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)
Attest: DANNY L.KOLHAGE, Clerk
BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA
Mayor/Chairperson
By
Deputy Clerk
Exhibit A
Monroe County Fire Rescue
Trauma Star Resident Fee Waiver
Account Receivables for September 2012 Write Off
Account#
Date of Service
Original Balance
Adjustments or
Payments
Final Balance
To rite -Off
160201-01
12/8/2008
$
12,140.00
$
11,627.76
$
512.24
160070-01
5/4/2009
$
14,300.00
$
5,000.00
$
9,300.00
160108-02
6/14/2009
$
14,140.00
$
6,956.00
$
7,184.00
160144-01
7/ 17/2009
$
14,140.00
$
-
$
14,140.00
160168-01
8/9/2009
$
12,060.00
$
-
$
12,060.00
160203-02
10/5/2009
$
9,820.00
$
-
$
9,820.00
160235-01
11/19/2009
$
11,740.00
$
-
$
11,740.00
160029-01
2/8/2010
$
15,660.00
$
2,500.00
$
13,160.00
160234-01
9/12/2010
$
12,060.00
$
10,503.68
$
1,556.32
160254-02
10/3/2010
$
12,060.00
$
-
$
12,060.00
160012-03
1/12/2011
$
14,220.00
$
-
$
14,220.00
160025-03
1 /24/2011
$
14,140.00
$
-
$
14,140.00
160047-03
2/7/2011
$
14,860.00
$
-
$
14,860.00
160073-03
2/25/2011
$
15,420.00
$
-
$
15,420.00
160111-04
3/13/2011
$
13,260.00
$
3,302.00
$
9,958.00
160083-03
3/14/2011
$
15,420.00
$
13,599.10
$
1,820.90
160101-03
3/19/2011
$
14,620.00
$
8,664.10
$
5,955.90
160103-01
3/21/2011
$
15,420.00
$
13,599.10
$
1,820.90
160130-01
4/14/2011
$
16,060.00
$
-
$
16,060.00
160144-02
4/28/2011
$
15,420.00
$
13,599.10
$
1,820.90
160172-02
5/17/2011
$
12,060.00
$
6,747.64
$
5,312.36
160173-02
5/18/2011
$
9,260.00
$
200.00
$
9,060.00
160197-03
6/4/2011
$
14,700.00
$
-
$
14,700.00
160205-03
6/13/2011
$
12,940.00
$
-
$
12,940.00
160199-03
6/17/2011
$
9,340.00
$
-
$
9,340.00
160225-02
6/27/2011
$
9,420.00
$
-
$
9,420.00
160237-03
7/12/2011
$
9,420.00
$
9,220.00
$
200.00
160239-01
7/12/2011
$
13,980.00
$
12,275.27
$
1,704.73
160253-02
7/23/2011
$
15,420.00
$
13,599.10
$
1,820.90
160258-03
7/26/2011
$
15,420.00
$
-
$
15,420.00
160267-03
8/1/2011
$
9,420.00
$
8,082.50
$
1,337.50
160269-03
8/2/2011
$
12,140.00
$
-
$
12,140.00
160301-02
9/1/2011
$
16,060.00
$
-
$
16,060.00
160306-02
9/12/2011
$
15,420.00
$
-
$
15,420.00
160321-01
9/29/2011
$
13,980.00
$
13,720.00
$
260.00
8905906
12/9/2011
$
9,660.00
$
-
$
9,660.00
9083215
12/20/2011
$
10,380.00
$
8,959.89
$
1,420.11
9286407
1/26/2012
$
16,060.00
$
16,010.00
$
50.00
10239949
3/23/2012
$
16,060.00
$
14,144.90
$
1,915.10
8861285
12/6/2012
$
11,180.00
$
-
$
11,180.00
Resident Fee Waiver Totals
52,920.00
$192,310.14
$336,69.6