Item G3 BOARD OF GOVERNORS
FIRE AND AMBULANCE DISTRICT 1
AGENDA ITEM SUMMARY
Meeting Date: October 16, 2013 Division: Emergency Services
Bulk Item: Yes X No Department: Fire Rescue
Staff Contact Person: Holly Pfiester 289-6088
AGENDA ITEM WORDING: Authorization for Emergency Services/Monroe County Fire Rescue to cease
outsourcing billing and collections for ground-and air-ambulance billing and collections and conduct these
revenue generating activities in-house through the creation of two (2) full-time Emergency Services positions:
EMS Billing Supervisor and EMS Billing Specialist; and approval to transfer funds from operating services to
personnel services to fund the two newly created positions.
ITEM BACKGROUND: Monroe County Emergency Services has outsourced ambulance transport billing
and collections since the year 2000. In 2005, a contract was entered into between Monroe County and
Advanced Data Processing(ADPI)to perform medical billings and account receivable management services,
which has been renewed through competitive bidding. Trauma Star air-ambulance operations and billing, as
well as the Trauma Star Resident Waiver Program began in 2006. The BOCC approved a consultant's
evaluation of the current billing and collections processes which was completed in 2013. The results of the
evaluation determined that current ground- and air-ambulance collections were not effective, did not maximize
potential revenue collections, and there was a lack of ADPI managerial oversight. It was further recommended
the functions of ground- and air-ambulance transport billing and collections would be more effective and
productive if it was provided as an integral component of the Emergency Services Division. As a result of the
most recent consultant's evaluation, it is recommended Monroe County ceases outsourcing billing and
collections for ground- and air-ambulance billing and conduct these revenue-generating activities in-house
through the creation of two full-time positions. Funds totaling $121,000 are budgeted in FY 2014 for the
payment to outside contractors for the outsourcing of billing and collections. Staff recommends these budgeted
funds be transferred from operating services to personnel services to fund the two newly created positions.
PREVIOUS RELEVANT BOG ACTION: N/A
CONTRACT/AGREEMENT CHANGES: N/A
STAFF RECOMMENDATIONS: Approval
TOTAL COST: $121,000BUDGETED: Yes X No COST TO COUNTY:
SOURCE OFF S: 11001-530340 =$75,500 and 13001-530340=$45,500 Totaling$121,000
VENUE PRODUCING: Yes X No AMOUNT PER MONTH Year
APPROVED Y: County Atty Purc asing Risk Management >
DOCUMENTATION: Included Not Required X
DISPOSITION: AGENDA ITEM
MONROE COUNTY BOARD OF GOVERNORS
OF FIRE AND AMBULANCE DISTRICT 1
CONTRACT SUMMARY
Contract with: TBD Contract# N/A
Effective Date: Upon Hiring
Expiration Date: N°A
Contract Purpose/Description:
Authorization for Emergency Services/Monroe County Fire Rescue to cease outsourcingbilling illing and
collections for ground- and air-ambulance billing and collections and conduct these revenue generating
activities in-house through the creation of two (2) full-time Emergency Services positions: EMS
Billing Supervisor and EMS Billing Specialist: and approval to transfer funds from operating services
to personnel services to fund the two newly created positions.
Contract Manager: Holly Pfiester 6088 Emergency Services /Stop 14
(Name) (Ext.) (Department/Stop#)
For BOG meeting on: 10/16/2013 Agenda Deadline: 10/01/2013
CONTRACT COSTS
Total Dollar Value of Contract: $121,000.00 ,/year Current Year Portion: N/A
Two (2) FTE's
Budgeted? Yes® No ❑ Account Codes: 101-11001-530340 and 141-13001-530340
Grant: $ N/A
County Match: $ N/A
ADDITIONAL COSTS
Estimated Ongoing Costs: $ N/A For: $ 0
(Not included in dollar value above) (eg.maintenance,utilities,janitorial,salaries,etc.)
CONTRACT REVIEW
Changes Date Out
Date In Needed R viewer
Division Director Yes❑ No «�
Risk Mana ement 4
g � Yes❑No .�
W
f AWM
O.M.B./Purchasing Y es❑ No a
.. �,
County Attorney ° Yes❑No[K]
f A.m J _........
Comments:
OMB Form Revised 2/27/01 MCP#2