Resolution 249-1994
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James R. Paros
Public Safety Division
RESOLUTION NO.
249-1994
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, AUTHORIZING THE CHAIRMAN TO
EXECUTE AN E.M.S. COUNTY GRANT APPLICATION AND RELATED
REQUEST FOR GRANT DISTRIBUTION TO THE DEPARTMENT OF
HEALTH AND REHABILITATIVE SERVICES OF THE STATE OF
FLORIDA
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY,
FLORIDA, as follows:
1. The Chairman is hereby authorized to execute an E.M.S. county
Grant Application and related Request for Grant Distribution to the
Department of Health and Rehabilitative Services of the State of Florida,
copies of same being attached hereto.
2. The monies from the E.M.S. County Grant will improve and expand
the County's pre-hospital E.M.S. system.
3. The grant monies will not be used to supplant existing County
E.M.S. budget allocations.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe
County, Florida, at a regular meeting of said Board held on the 17th day
of August, A.D. 1994.
Mayor London
Mayor Pro Tern Cheal
Commissioner Harvey
Commissioner Freeman
Commissioner Reich
yes
yes
yes
yes
ves
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County Attorney's Office
ATTACHMENT 1
The attached listings are by the billing flag category in which
the account receivable balance of the patient account for the
ambulance user fees is posted. The categories, with a summary
explanation of the billing activity which has taken place, are as
follows.
This group of flag categories only lists those accounts
which were acquired from 11/17/87 thru 12/31/90. (This date
range was determined based on the date which the user fees were
first enacted and the ambulance transport logs which are kept on
a calendar year basis.)
PRIVATE-QUARTERLY BILLING - These are accounts due from private
individuals on which we have received either a partial payment,
and/or no response to repeated billings. While the latest
activity on one (1) of the accounts was in June of 1993. No
response has been received from the patient regardless of
repeated regular billings. $56,807.07
REFUSED TRANSPORT - These are accounts due from private
individuals on which we have never received response to repeated
billings. $50.00
BAD ADDRESS - These accounts are due from private individuals
on whose address on file is incorrect. These accounts were sent
to the mail return service Monroe County contracted with to
provide good mailing addresses in 1991. However, the company was
unable to locate a viable address for the individual.
$121,891.51
B/A-REBILLED QUARTERLY - These accounts are due from private
individuals who were rebilled after locating a good mailing
address for the individual. The patient has not responded to
repeated billings. $25,229.27
REBILL STILL BAD ADDRESS - These accounts are due from private
individuals on whom repeated mail return searches have been
conducted only to provide another incorrect mailing address.
$47,024.31
The next group of flag categories is for those accounts
which have been determined to be uncollectible based on either
the patient status or claim status. There has been no
consideration given to the age of the account.
BAD DEBT - These accounts are for individuals who are either
financially indigent or were unidentifiable at the time of
incident by the ambulance crew and later by the hospital.
$1,553.18
ESTATE CLAIM-PATIENT DECEASED - These accounts are for
individuals who are deceased and an estate claim was filed for
the balance owing. However, no response has ever been received
to the claim. The balance owing is either for the full amount or
the balance after insurance payment was received. $1,441.57
PATIENT DECEASED-NO ESTATE - These accounts are for individuals
who are deceased and there are no assets to file claim against.
Notification was received either through returned mail or the
phone. $35,765.75
FILED BANKRUPTCY - These accounts are for individuals who have
filed bankruptcy and there are no assets to file a claim
against. $3,864.11
CUBAN REFUGEE - These accounts are for Cuban individuals who
have been transported after being picked up at sea. These
individuals also have no known local address. The Department of
Immigration Services advised our offices that they will no longer
pay for service rendered to individuals who are not in their
custody. $2,690.00
MEDICAID FILING TIME EXPIRED - The accounts which were acquired
during 1989 are for individuals who had Medicaid coverage at the
time of transport but due to problems with DSM, our then
contracted billing and collection service, the accounts were not
timely filed and thus exceeded the time limit for Medicaid
billing. The accounts from 1990-1992 are for individuals who
notified our office of coverage past the filing time limit and
stated financially indigent and unable to pay. $23,736.48
HMO-CENTURY MED. NONBILLS - These accounts represent those
individuals who are members of a HMO. The HMO has paid according
to their guidelines and State Statute. After correspondence with
the County Attorney's Office, it has been suggested that these
accounts also be adjusted as Monroe County EMS is held by statute
from billing the subscriber to a HMO for balances due after such
HMO pays for covered services regardless if the account is paid
in full. $161.15
ATTACHMENT 2
The attached listing is the Accounts Receivable due from
individuals at the time of the dissolution of the contract
between DSM and Monroe County to provide billing service for the
ambulance user fees. While the ambulance billing office has
received some payments on these accounts over the past four (4)
years, there has been no pursuit of collection by the office. A
survey of one hundred (100) accounts was done during Fiscal Year
1991 with minimal positive results.
Those accounts which have been asterisked (*) reflect a
reduced balance from the original billing based on payments which
were deposited during the five (5) month period after the
dissolution of contract date and the creation and staffing to the
ambulance billing office. They also reflect those accounts on
which some form of payment has been received since August of 1989.
$398,226.39