Manatee County Government Administrative Center First Floor, Commission Chambers 9:00 a.m. - March 6, 2018
REVISED March 6, 2018 - Regular Meeting
Agenda Item #41

2018 State of EMS and Write Off of Uncollectable EMS Ambulance Fees


Contact and/or Presenter Information
Paul DiCicco, EMS Chief - Ext 1645
Renée Isrel, Chief Administrative Officer - Ext 1649

Action Requested

Report on the 2018 State of EMS.

Authorization to remove uncollectable accounts for ambulance user fees, totaling $4,711,612, and execution of a termination agreement with Change Healthcare, formerly known as PerSe Technology (PST), a McKesson Company.

Enabling/Regulating Authority

Resolution R-13-196, Section Three: Adjustment of EMS user fees, Subsection G, Adjustment of Accounts Receivable.
Florida Statutes Chapter 125--Home rule authority.
Resolution R-13-196 for adjustment to appropriate receivable accounts.

Background Discussion

EMS provides a report annually on the current state of our EMS operations.

Manatee EMS handles approximately 50,000 911 calls for service each year. Of these 50,000 calls, EMS transports approximately 32,000 patients to local hospitals. Emergency Medical Technicians and Paramedics collect data in the field which includes patient demographic information.  

The contract for EMS billing services with Change Healthcare, formerly PerSe Technologies (PST), a McKesson Company, ended on August 31, 2017.  PST continued to collect on active accounts through November 30, 2017.  A termination agreement is needed to finalize our contractual agreement with PST.

PST system issues were discovered which caused billing issues for our Self-Pay clients. Through the termination agreement, PST agrees to credit the County $90,000 to off-set the approximate loss. 

Accounts deemed uncollectable have been turned over to Professional Recovery Consultants, Inc., for further collection efforts.  Uncollectable accounts for ambulance user fees, as submitted by PST, total $4,711,612.  Details are provided in Attachment A.

In September 2017, Manatee County contracted with a new billing vendor, Ambulance Medical Billing (AMB).

Remaining active accounts from PST will be turned over to AMB for extended billing efforts.


County Attorney Review
Formal Written Review (Opinion memo must be attached)

Explanation of Other

Reviewing Attorney

Instructions to Board Records
Copy of approved agenda to: robert.smith@mymanatee.org, renee.isrel@mymanatee.org, mary.allred@mymanatee.org, and danielle.heaton@manateeclerk.com.

Cost and Funds Source Account Number and Name
$4,711,612 Uncollectable and $90,000 Credit: 001-0000000115113 General Fund EMS Ambulance Fees

Amount and Frequency of Recurring Costs

Attachment:  Attachment A.pdf
Attachment:  State of EMS 2018.pdf
Attachment:  Termination PerSe AMM REVISIONS.pdf
Attachment:  RLS Response Memo.pdf