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Item C14 C.14 Coty f � ,�� ,' BOARD OF COUNTY COMMISSIONERS �� Mayor David Rice,District 4 The Florida Keys � Mayor Pro Tem Craig Cates,District 1 y Michelle Coldiron,District 2 James K.Scholl,District 3 Ij Holly Merrill Raschein,District 5 County Commission Meeting September 21, 2022 Agenda Item Number: C.14 Agenda Item Summary #10998 BULK ITEM: Yes DEPARTMENT: Emergency Services TIME APPROXIMATE: STAFF CONTACT: Steven Hudson (305) 289-6342 N/A AGENDA ITEM WORDING: Approval to accept a separate negotiated settlement offer, made by Zelis on behalf of a former Monroe County Fire Rescue patient ("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 a 15% reduction in the total billed charges, Zelis has provided an electronic fund transfer (EFT) payment to Trauma Star for the account in anticipation of acceptance of the offer. The payment, totaling $15,051.14, if approved, will be applied to the 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 a lump sum payment offer by the Debtor for an air ambulance transport account 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 For Percent of 08/18/2022 Account Charges 22-2131 07/28/2022 $17,700.00 $0.00 $0.00 $17,700.00 $15,051.14 $15,051.14 85% Summary $17,700.00 $0.00 $0.00 $17,700.00 $15,051.14 $15,051.14 85% The total payment for the account represents an 85% collection rate of the total billed charges. CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATION: Approval Packet Pg.462 C.14 DOCUMENTATION: Executive Summary - Billing Lump Sum Payments 09.21.2022 v2 Resolution 386-2015 Trauma Star Amended Fee Schedule 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 09/01/2022 2:39 PM Steven Hudson Completed 09/02/2022 10:51 AM Purchasing Completed 09/02/2022 3:11 PM Budget and Finance Completed 09/02/2022 3:13 PM Brian Bradley Completed 09/02/2022 4:36 PM Lindsey Ballard Completed 09/06/2022 9:57 AM Board of County Commissioners Pending 09/21/2022 9:00 AM Packet Pg.463 C.14.a Executive Summary Recommendation that the Board of County Commissioners ("Creditor") approve an electronic fund transfer (EFT) payment, made by Zelis on behalf of a former Monroe County Fire Rescue patient ("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 a 15% reduction in the total billed charges, Zelis has provided an EFT payment to Trauma Star in anticipation of acceptance of the offer. The payment, totaling $15,051.14, if approved, will be applied LO respectively to the Debtor's account, and be considered payment-in-full and final settlement. CL OBJECTIVE: To allow for the timely and reasonable lump sum payment of the specified air ambulance transport account LO 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 current air ambulance rates as established in Resolution 386-2015. Monroe County Fire Rescue > has received a lump sum payment offer by a Debtor for an air ambulance transport account for CN consideration by Monroe County as payment in full as specified in the table below: c� Payments Proposed Proposed Proposed Posted to Total Received U) Run Date of Total Mandatory Remaining Final Number Service Charges Account as Adjustments Balance Settlement Amount Amount as of Amount Received For Percent of E 08/18/2022 Account Charges CL 22-2131 07/28/2022 $17,700.00 $0.00 $0.00 $17,700.00 $15,051.14 $15,051.14 85% E Summary $17,700.00 $0.00 $0.00 $17,700.00 $15,051.14 $15,051.14 85% CL E The total payment for the account represents an 85% collection rate of the total billed charges. FISCAL IMPACT: Total revenue realized of $15,051.14 would be received by the County as full and final payment for the account associated with Trauma Star Air ambulance run number 22- 2131. E LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney and is legally 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. E PREPARED BY: Cheri Tamborski, Monroe County Fire Rescue Executive Administrator Packet Pg.464 I C.14.b RESOLUTION NO S - 015 SOLUTION BY THE MONROE COUNTY BOARD OF COUNTY OO SIONE SUPERSEDING RESOLUTION NO. 175-2008, AND ADOPTING AN AMENDED FEE SCHEDULE FOR USE BY THE SPECIAL TAXING DISTRICT FOR PROVIDING EMERGENCY MEDICAL AIR 1 TRANSPORT AM#tLANCk SERVICES. WHEREAS Ordinance No.050-1987 was pas.ed and adopted by the Board of County Commissioners of E � Monroe ounty,Florida on Novenmber 17, 19 7; AREAS, in accordance with Section of said Ordinance No.050-19 7,the Bove in bodies shall have e E ® right to establish rates of tenser fees by Resolution; and � WHEREAS, Monroe County Board of County,Commissioners,Florida previously adopted Resolution No. � 175-2008,adopting a fee schedule for use for providing Emergency Medical Air Transport Services in Monroe County; WHEREAS,the Board desires to revise the fee schedule NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF � MONROE, COUNTY,FLORIDA,THAN 1. Effective November 17, 201 5,Resolution No. 175-2 0 , adopted by the Board of County Commissioners on June 18, 2008, is hereby superseded this Resolution d ® Effective November 17, 2015, the Board adopts the following Fee Schedule for use for providing Enmer envy � Medical Air Transport Ambulance Services. U. Air Ambulance Tninsport Fee $ 12,000.00 Mileage 100.00 per mile E PASSED AND ADOPTED by the Board of County Commissioners of MonroeCounty', this 17th day of November 2015, Mayor Heather Carruthers rn Mayor Pro Tern George Neu gent A b w m „ , ommmmmmissioner Danny 1Colha e An- u„ C� 00 Commissioner David Rice Commissioner Syria Murphy - .a 0 (SEAL) BOARD OF COUNTY COMMISSIONERS ATTEST: AMY HEAVILIN,CLERK OF MONROE COUNTY,FLORIDA ; E By: Deputy Clerk Mayor,HeatheV 1 OUTMMO A ROV I ASITA T 011` Packet Pg.465 I C.14.b i f Ix Collier-cqtj,n,ty $ 700,00 $ 700.00 750.00 12.25 5,900.00 110,00 i b Coot $ 522.991 $ 590.02 $ 690. $ 11.1 , 9,000.00 $ 100.00 Bro arad-County 450.00 $ 460.00 : $ 575.00 $ &00 $ 4,500.00 $ 75.001 Pala Beach-County $ 610.00 $ 610.00 $ 770.00 $ 12.00 $ 16,524.00 135.00 E I St,Lucie County 'Ell $ 31,091.20 $ 373.6 E u y Monroe-County 0,00 600.00 $ 800.00 12.00 $ 5, 00.00 80.00 UfellNet $ 22,554.84 $ 333.65 ao r E e ,rar $ 7 .6 $ 443.75 2.27 7,3 � . 1 ME Correctional Statute $ 411.05 488A3 686.70 8.08 $ 5,864,84 $ 37.58 a� a PR cumme at n's $ 12,000.00 $ 100.00 � E d 2 fff ®0 E l i Packet Pg.466 J i