|Manatee County Government Administrative Center Commission Chambers, First Floor 9:00 a.m. - April 7, 2015|
Agenda Item #14
Write Off Uncollectible EMS Ambulance User Fees - February 2015
Contact and/or Presenter Information
Randi Dunsworth, Fiscal Specialist, EMS Business Operations, x3560.
Christine Bowling, Manager, EMS Business Operations, x7874.
Authorized by Laurie Feagans, Interim Director, Public Safety, x3511.
Authorization for Public Safety Department to remove uncollectible accounts for ambulance user fees totaling $379,424.86 from the active accounts receivables in accordance with generally accepted accounting principles.
Resolution R-13-196, Section Three: Adjustment of EMS user fees, Subsection G, Adjustment of Accounts Receivable. Florida Statutes Chapter 125--Home rule authority.
Emergency Medical Services (EMS) Billing Practices
Manatee County Emergency Medical Services (EMS) responds to more than 40,000 calls for service each year and transports thousands of distressed patients to local hospitals to receive emergent care. Manatee County EMS enjoys a 67 percent collection fee rate, meaning two-thirds of our transport billable is collected. Over time Manatee County has refined its billing standards and improved our ability to collect transport fees. Today, Manatee's 67 percent collection fee rate easily exceeds industry standards which fluctuate between 35 percent and 45 percent. A majority of ambulance transportation fees are paid by a patient's medical insurance, or by the patient directly. For patients with insurance, Manatee County EMS issues an initial transport claim to the patient's insurance company; this is followed up in 45 days with a second claim notice. Once the billable (the County's claim) reaches 45 days, the insurance company and the patient are both sent a bill for transport service. If the transport bill is not paid or if a payment plan cannot be agreed upon within the next 30 days by either the patient's insurance company or the patient, the billing claim is forwarded to a contracted collection company. If the patient does not have insurance coverage, the transport bill for ambulance services is sent directly to the patient who then has 30 days to make a payment to Manatee County. Self-pay patients are sent four statements, about 30 days apart. Most self-pay patients are encouraged to set up and participate in monthly payment plans. Manatee EMS recognizes that not all patients have the ability to pay for the service, but we must ensure the safety of our community through these responses.
Manatee County ambulance billing services has been contracted to PST Services, Inc., d/b/a Per-Se Technologies, since March 1, 2005. After PST Services, Inc., has made a reasonable effort to collect on an account, the account is turned over to Merchants Association Collection Division, Inc., the collection agency that has contracted collection services with Manatee County. The accounts are now pursued by the collection agency. PST Services, Inc., removes the accounts from the accounts receivable ledger as an uncollectible amount. To maintain consistency and for accounts receivable reconciliation purposes, it is recommended that these amounts also be removed from the active accounts receivable ledger for Manatee County, maintained by the Clerk of Circuit Court Finance Department. Writing these accounts off throughout the year in conjunction with our billing contractor allows a more accurate statement of the County's accounts receivable and does not overstate the value of accounts receivable in the General Fund. Manatee County does not waive any rights it may have to collect.
Uncollectible accounts for ambulance user fees as submitted by Per-Se Technologies as of February 2015 are included in Attachment A. Attachment A, fees totaling $379,424.86 from FY2008 - FY2015 are being written off and accounts were sent to the collection agency. Attachment C provides details of the EMS adjustment totals for February 2015.
County Attorney Review
Not Reviewed (No apparent legal issues)
Explanation of Other
Instructions to Board Records
Copies of approved agenda to: email@example.com, firstname.lastname@example.org, email@example.com, firstname.lastname@example.org
Cost and Funds Source Account Number and Name
Amount and Frequency of Recurring Costs
Attachment: February 2015 ATT A.pdf
Attachment: February 2015 ATT C.pdf