Item G3i 11 111
' 1 1 M
AGENDA ITEM SUMMARY
Meeting Date: September 21, 2012 Division: Emergency Services
Bulk Item: Yes X No
Department: Fire Rescue
Staff Contact Person: MaU NgNapoli ext 6010
AGENDA ITEM WORDING: Approval of Resolution authorizing the write-off of Fire Rescue
ground ambulance accounts receivable for CY 2008, in the total amount of $325,166.82 from the Fire
Rescue District 1 Fund Account 141-115002.
ITEM BACKGROUND: Monroe County contracts with Advanced Data Processing Inc., (ADPI) for
ambulance billing, and after 210 days of inactivity, these accounts were placed with Municipal
Services Bureau (MSB), 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 683 accounts, in the total amount of $325,166.82
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 refuses 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 BOG ACTION: On August 20, 2008 Resolution No. 250-2008
authorized the write off of Fire Rescue ground ambulance accounts receivables in the total amount of
$249,833.14. On September 16, 2009 Resolution No. 280-2009 authorized the write off of Fire Rescue
ground ambulance account receivables in the total amount of $311,040.13. On August 18, 2010
Resolutions 248-2010 and 246-2010 authorized the write off of Fire Rescue ground ambulance
accounts receivables in the total amount of $315,822.09.On September 21, 2011 Resolution 282a-
2011 authorized the write off of Fire Rescue ground ambulance accounts receivables in the total
amount of $284,953.95.
CONTRACT/AGREEMENT CHANGES: N/A
STAFF RECOMMENDATIONS: Approval.
DIFFERENTIAL OF LOCAL PREFERENCE: N/A
COST TO COTInTT:_ N/A Y111j;C O 91it TI 7 /A
REVENUE PRODUCING: Yes _ N _ AMOUNT PER MONTH Year
APPROVED BY: County Atty�LOMB/Purchasing Risk Management
DOCUMENTATION: Included X Not Required
DISPOSITION: AGEN
Emergency Services
RESOLUTION NO. -2012
• "' 1' 1 1 1 ''1 1' 1 1'
WHEREAS, Monroe County Fire Rescue Services provides ground 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 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 ground ambulance service accounts receivable be
written off at this time;
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF GOVERNORS OF FIRE
AND AMBULANCE DISTICT 1 OF MONROE COUNTY, FLORIDA:
Receivables for ground ambulance service accounts listed on attached Exhibit A in the amount of
$325,166.82 be deleted from the Fire Rescue District 1 Fund Account 141-115002.
PASSED AND ADOPTED by the Board of Governors, Fire and Ambulance District 1 of Monroe
County, Florida, at a regular meeting of said Board held on the _ day of 12012.
Mayor of Layton, Norman Anderson
Councilman Clark Snow
Commissioner George Neugent (Chairperson)
Commissioner Kim Wigington
Mayor of Monroe County, David Rice
(SEAL)
BOARD OF GOVERNORS, FIRE AND
AMBULANCE DISTRICT 1 of MONROE
COUNTY FLORIDA
Attest: DANNY L.KOLHAGE, Clerk By:
By
Deputy Clerk
r
Exhibit A
Monroe County Fire Rescue Ground AmbLulancje
LDat, f Service
Original balance
(or Balance when sent
to coRectkons)
djustments
Final Balance
These accounts are with IVISB
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Monroe County Fire Rescue Ground Ambulance
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830742-01
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690008-01
800698-01
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Exhibit A
Monroe County Fire Rescue Ground Ambulance
MM I
MM I
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Exhibit A
Monroe County Fire Rescue Ground Ambulance
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Exhibit A
Monroe County Fire Rescue Ground Ambulance
810002-01
8/11/08
$ 770.00
$ -
$
$ 770.00
800134-01
1/23/08
$ 509.00
$ -
$
$ 509.00
800135-01
1/24/08
$ 518.00
$ -
$
$ 518.00
800136-01
1/25/08
$ 527.00
$ -
$
$ 527.00
800137-01
1/27/08
$- 545.00
$ -
$
$ 545.00
750008-01
7/05/08
$ 644.00
$ -
$
$ 644.00
800104-01
1/18/08
$ 707.00
$ -
$
$ 707.00
800362-01
2/26/08
$ 716.00
$ -
$
$ 716.00
800309-01
2/19/08
$ 509.00
$ -
$
$ 509.00
800414-01
3/01108
$ 509.00
$ -
$
$ 509.00
800482-01
3/10/08
$ 698.00
$ -
$
$ 698.00
800274-01
2/11/08
$ 671.00
$ -
$
$ 671.00
900005-01
9/20/08
$ 660.00
$ -
$
$ 660.00
750001-01
7/05/08
$ 572.00
$ -
$
$ 572.00
890315-01
11/09/08
$ 660.00
$ -
$
$ 660.00
910002-01
9/01/08
$ 545.00
$ -
$
$ 545.00
760006-01
7/06/08
$- 509.00
$ -
$
$ 509.00
630001-01
6/23/08
$ 518.00
$ -
$
$ 518.00
710002-03
7/01/08
$ 518.00
$ -
$
$ 518.00
720007-02
7/12/08
$ 518.00
$ -
$
$ 518.00
1-01
10110/08
$ 804.00
$ -
$
$ 804.00
800337-01
2/23/08
$ 95.40
$ -
$
$ 95.40
800399-01
2/27/08
$ 653.00
$ -
$
$ 653.00
830741-01
12/05/08
$ 828.00
$ -
$
$ 828.00
800042-01
1/05/08
$ 236.00
$ -
$
$ 236.00
800919-01
5/23108
$ 518.00
$ -
$
$ 518.00
800784-01
4/29/08
$ 245.00
$ -
$
$ 245.00
800714-01
4/19/08
$- 518.00
$ -
$
$ 518.00
80001-01
10/08/08
$ 696.00
$ -
$
$ 696.00
800263-01
2/09/08
$ 725.00
$ -
$
$ 725.00
990006-01
9/09/08
$ 37.85
$ -
$
$ 37.85
800496-01
3/16/08
$- 671.00
$ -
$
$ 671.00
810001-03
8131/08
$ 518.00
$ -
$
$ 518.00
910007-03
9/21/08
$ 660.00
$ -
$
$ 660.00
801039-01
6/07/08
$ 509.00
$ -
$
$ 509.00
940002-02
9/14/08
$ 626.00
$ -
$
$ 626.00
800568-01
3/26/08
$ 509.00
$ -
$
$ 509.00
800926-01
5/25/08
$ 509.00
$ -
$
$ 509.00
800495-01
3/15/08
$ 509.00
$
$ 509.00
830690-01
1 11/03/08
$ 756.00
$
$
$ 756.00
Exhibit A
Monroe County Fire Rescue Ground Ambulance
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Monroe County Fire Rescue Ground Ambulance
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Exhibit A
Monroe County Fire Rescue Ground Ambulance
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Exhibit A
Monroe County Fire Rescue Ground Ambulance
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Exhibit A
Monroe County Fire Rescue Ground Ambulance
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Exhibit A
Monroe County Fire Rescue Ground Am�bulance
..........
800595-01
3/31/08
$ 698.00
$ -
$
$ 698.00
820345-01
12/17/08
$ 266.13
$ -
$
$ 266.13
850004-02
8/15/08
$ 680.00
$ -
$
$ 680.00
830755-01
12/10/08
$ 116.43
$ -
$
$ 116.43
810334-01
10/29/08
$ 130.00
$ -
$
$ 130.00
810352-01
11/23/08
$ 416.00
$ -
$
$ 416.00
830743-01
12/05/08
$ 500.00
$ -
$
$ 500.00
880585-01
10/31/08
$ 322.40
$ -
$
$ 322.40
800785-01
4/29/08
$ 617.00
$ -
$
$ 617.00
800786-01
4/29/08
$ 166.00
$ -
$
$ 166.00
801041-01
6/07/08
$ 789.00
$ -
$
$ 789.00
800005-03
8/20/08
$ 698.00
$ -
$
$ 698.00
800943-01
5/26/08
$- 509.00
$ -
$
$ 509.00
770003-03
7/27/08
$ 509.00
$ -
$
$ 509.00
800932-01
5/25/08
$ 509.00
$ -
$
$ 509.00
690013-01
6/29/08
$ 644.00
$ -
$
$ 644.00
801033-01
6/06/08
$ 509.00
$ -
$
$ 509.00
830793-01
12/30/08
$ 744.00
$ -
$
$ 744.00
870295-01
12/27/08
$ 68.37
$ -
$
$ 68.37
810378-02
12/16/08
$ 133.60
$ -
$ (133.60)
$ -
730006-01
7/03/08
$ 458.00
$ -
$
$ 458.00
890006-02
8/29/08
$ -
$ -
$
$ -
800002-01
8/10/08
$ 207.50
$ -
$
$ 207.50
880620-01
11/19/08
$ 202.00
$ -
$
$ 202.00
850008-01
8/25/08
$ 99.62
$ -
$
$ 99.62
880675-01
12/26/08
$ 74.80
$ -
$
$ 74.80
990001-03
9/29/08
$ 840.00
$ -
$
$ 840.00
870258-01
11/08/08
$ -
$ -
$
$ -
720005-02
7/22/08
$ 572.00
$ -
$
$ 572.00
940002-01
9/04/08
$ 509.00
$ -
$
$ 509.00
950003-01
9/05/08
$ 509.00
$ -
$
$ 509.00
840007-01
8/24/08
$ 42.20
$ -
$
$ 42.20
900001-03
9/30/08
$ 465.24
$ -
$
$ 465.24
830771-01 12/19/08
MISS TOTALS
$ 357.15
$237,289.51
$ -
$
$ (150.00)
$ (945.60)
$ 207.15
$236,343.91
Exhibit A: Page 11 of 18
Exhibit A
Monroe County Fire Rescue Ground Ambulance
Original balance
(or
Balance when sent
Date of Service
to coil-ections)
P,stments
Balance
These accounts are with ADPI
--Final
so 00
to
so;
FA
Mf
1010 lo
I fill
Exhibit A
Monroe County Fire Rescue Ground Ambulance
3/26/2008
WRIT=
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• A
Monroe County Fire Rescue Ground Amb)Aulance
OW
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04.
MO
00
go
80088201
4121130a�: �wu
Exhibit A
Monroe County Fire Rescue Ground Ambulance
�-
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a
Exhibit A
Monroe County Fire Rescue Ground Ambulance
0 oil
WIM I
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0 0 0
001
• A
Monroe County Fire Rescue Ground Ambulance
AWNT
oil
oil-
*Do
oil
01.
10/22/2008
lot
10/23/2008
. . . . . . . . . . . .
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Exhibit c
Monroe County Fire Rescue Ground Ambjulance
83074001
12/5/2008
$
804.00
$
-
$
-
$
804.00
82033501
12/6/2008
$
612.00
$
-
$
350.00
$
262.00
81037001
12/10/2008
$
792.00
$
209.99
$
532.01
$
50.00
83075902
12/12/2008
$
864.00
$
-
$
600.00
$
264.00
83076301
12/13/2008
$
960.00
$
298.54
$
529.17
$
132.29
81038001
12/17/2008
$
756.00
$
277.50
$
378.50
$
100.00
89034101
12/18/2008
$
672.00
$
-
$
470.40
$
201.60
88065602
12/19/2008
$
660.00
$
-
$
-
$
660.00
83077201
12/20/2008
$
924.00
$
-
$
788.84
$
135.16
82035101
12/21/2008
$
612.00
$
-
$
-
$
612.00
82035201
12/21/2008
$
612.00
$
-
$
-
$
612.00
87028801
12/21/2008
$
720.00
$
254.40
$
364.38
$
101.22
89034601
12/21/2008
$
684.00
$
-
$
634.00
$
50.00
83077701
12/22/2008
$
852.00
$
-
$
-
$
852.00
81039101
12/24/2008
$
852.00
$
250.03
$
556.58
$
45.39
83078301
12/26/2008
$
840.00
$
-
$
175.00
$
665.00
83078401
12/26/2008
$
828.00
$
475.60
$
332.40
$
20.00
88067301
12/26/2008
$
624.00
$
-
$
-
$
624.00
ADPI TOTALS
$160,783.00
$15,161.15
$56,798.94
$
88,822.91
Exhibit A: Page 18 of 18