Item C18 C.18
Coty f � ,�� ,' BOARD OF COUNTY COMMISSIONERS
�� Mayor David Rice,District 4
The Florida Keys � Mayor Pro Tem Craig Cates,District I
y Michelle Coldiron,District 2
James K.Scholl,District 3
Ij Holly Merrill Raschein,District 5
County Commission Meeting
July 20, 2022
Agenda Item Number: C.18
Agenda Item Summary #10786
BULK ITEM: Yes DEPARTMENT: Emergency Services
TIME APPROXIMATE: STAFF CONTACT: Steven Hudson (305) 289-6342
N/A
AGENDA ITEM WORDING: Approval to accept two separate negotiated settlement offers, made
by Aetna on behalf of two former Monroe County Fire Rescue patients ("Debtor"), by making
payment "on account" for less than the full amount for services rendered by Global Sky Aircharter
Corporation a/k/a Trauma Star Air Ambulance Transport. In exchange for an approximate 2%
reduction in the total billed charges, Aetna has provided two electronic fund transfer (EFT)
payments to Trauma Star for these two accounts in anticipation of acceptance of the offer. These
two payments, totaling $47,910.51, if approved, will be applied respectively to each Debtor's
account and be considered payment-in-full and final settlement.
Monroe County Fire Rescue EMS Billing Department provides the billing services for the Global
Sky Aircharter Corporation a/k/a Trauma Star air ambulance service. The Monroe County Fire
Rescue EMS Billing Department bills all Trauma Star air ambulance transports at the current air
ambulance rates as established in Resolution 386-2015. Monroe County Fire Rescue has
received lump sum payment offers by each Debtor for two separate air ambulance transport
accounts for consideration by Monroe County as payment in full as specified in the table below:
Run Date of Total Payments Mandatory Remaining Proposed Proposed Proposed
Number Service Charges Posted to Adjustments Balance Final Total Received
Account as Settlement Amount Amount as
of Amount Received Percent of
05/31/2022 For Account Charges
22-1465 05/18/2021 $23,700.00 $0.00 $0.00 $23,700.00 $23,279.20 $23,279.20 98%
22-1455 05/17/2022 $25,200.00 $0.00 $0.00 $25,200.00 $24,631.31 $24,631.31 98%
Summary $48,900.00 $0.00 $0.00 $48,900.00 $47,910.51 $47,910.51 98%
The combined average of the total payments for the two accounts would represent an
approximate 98% collection rate of the total billed charges.
CONTRACT/AGREEMENT CHANGES:
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C.18
N/A
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
Executive Summary - Billing Lump Sum Payment EFT 07.20.2022
FINANCIAL IMPACT:
Effective Date: N/A
Expiration Date: N/A
Total Dollar Value of Contract: N/A
Total Cost to County: N/A
Current Year Portion: N/A
Budgeted: N/A
Source of Funds: Fund 101, Cost Center 11001
CPI: N/A
Indirect Costs: N/A
Estimated Ongoing Costs Not Included in above dollar amounts: N/A
Revenue Producing: N/A If yes, amount: N/A
Grant: N/A
County Match: N/A
Insurance Required: N/A
Additional Details: N/A
REVIEWED BY:
James Molenaar Completed 07/05/2022 10:24 AM
Steven Hudson Completed 07/05/2022 1:19 PM
Purchasing Completed 07/05/2022 1:43 PM
Budget and Finance Completed 07/05/2022 4:43 PM
Brian Bradley Completed 07/05/2022 4:44 PM
Lindsey Ballard Completed 07/05/2022 4:47 PM
Board of County Commissioners Pending 07/20/2022 9:00 AM
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C.18.a
Executive Summary
Recommendation that the Board of County Commissioners ("Creditor") approve two separate
electronic fund transfer (EFT) payments, made by Aetna on behalf of former Monroe County
Fire Rescue patients ("Debtor"), for less than the full amount for services rendered by Global
Sky Aircharter Corporation a/k/a Trauma Star Air Ambulance Transport. In exchange for an
approximate 98% reduction in the total billed charges, Aetna has provided two EFT payments
to Trauma Star in anticipation of acceptance of the offer. These two payments, totaling
$47,910.51, if approved, will be applied respectively to each Debtor's account, and be CL
considered payment-in-full and final settlement.
OBJECTIVE: To allow for timely and reasonable lump sum payments of the specified air
ambulance transport account LO
M
CONSIDERATION: Monroe County Fire EMS Billing Department provides the billing services for
the Global Sky Aircharter Corporation a/k/a Trauma Star air ambulance service. The Monroe
County Fire Rescue EMS Billing Department bills all Trauma Star air ambulance transports at the CN
current air ambulance rates as established in Resolution 386-2015. Monroe County Fire Rescue
has received lump sum payment offers by a Debtor for two separate air ambulance transport
accounts for consideration by Monroe County as payment in full as specified in the table below:
Payments Pro posed
Posted to p Total Received Proposed Proposed
Run Date of Total Mandatory Remaining Final E
Number Service Charges Account as Adjustments Balance Settlement Amount Amount as
of Amount Received For Percent of M
05/31/2022 Account Charges
E
22-1465 0S/18/2021 $23,700.00 $0.00 $0.00 $23,700.00 $23,279.20 $23,279.20 98%
LO
22-1455 05/17/2022 $25,200.00 $0.00 $0.00 $25,200.00 $24,631.31 $24,631.31 98% CL
Summary $48,900.00 $0.00 $0.00 $48,900.00 $47,910.51 $47,910.51 98%
�9
The combined average of the total payments for the two accounts represents an approximate
98% collection rate of the total billed charges. ,
FISCAL IMPACT: Total revenue realized of $47,910.51 would be received by the County as full E
and final payment for the accounts associated with Trauma Star Air ambulance run number 22-
1465 and 22-1455.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney and is legally
X
sufficient.This item requires a simple majority support for direction. -JDM
RECOMMENDATION: That the specified Trauma Star air ambulance account lump sum
payments be accepted and considered as payment-in-full for the account and forgo our right to
claim the balance.
PREPARED BY: Cheri Tamborski, Monroe County Fire Rescue Executive Administrator
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