HomeMy WebLinkAbout21. 16-561
DECEMBER 13, 2016 16-561 RESOLUTION
(CARRIED 7-0 LOST________LAID OVER________WITHDRAWN________)
PURPOSE: APPROVE AMBULANCE RATES
INITIATED BY: FIRE DEPARTMENT
BE IT RESOLVED that the attached Service Rates are hereby adopted and shall be in
full force and effect on and after January 1, 2017.
CITY OF OSHKOSH FIRE DEPARTMENT
AMBULANCE SERVICE RATES
Effective 1-1-17
ITEM
NO.
ITEM DESCRIPTION
PROPOSED
CHARGE
1
BLS Resident
600.00
2
BLS Non Resident
700.00
3
ALS Emergency Resident
700.00
4
ALS Emergency Non -Resident
800.00
5
ALS Level II Resident
850.00
6
ALS Level II Non -Resident
950.00
7
Mileage
15.00/Mile
8
ALS Treat No Transport Resident
400.00
9
ALS Treat No Transport Non -Res.
600.00
10
BLS On Scene Care
250.00
11
Lift Assist
$50.00
11
Urgent Care
125.00
1. Rate recommendations are based on cost to provide service, national averages
and trends.
2. All medications and supplies charged at cost plus a minimum of 100%.
TO: Honorable Mayor and Members of the Common Council
FROM: Timothy Franz, Fire Chief
Trena Larsen, Finance Director
DATE: December 9, 2016
RE: Proposed Rate Increases for Ambulance Service
BACKGROUND
The fees for ambulance service that we charge are reviewed annually in conjunction with our billing
provider Lifequest Services. This process involves comparing the cost of services from other
communities and reviewing reimbursement rates from insurance companies. The data this year
indicated that some our fees do need to be increased. In addition to adjusting our current fees we are
adding a fee for lift assistance as we had discussed in the budget process.
ANALYSIS
The fee increases proposed and anticipated revenue, were calculated by Lifequest Services. The
individual fees are listed in the attached table which shows both the current fees and the proposed fees.
I have also included the survey data that Lifequest provided with their analysis, please note the fees in
the survey were based on 2016 rates. Even with the increases proposed, our base rates will remain
below the average of the other providers.
FINANCIAL IMPACT
We are conservatively estimating no increase in revenues for 2017, gross fees are expected to increase
by $35,000.00 with an estimated net increase to collections of $13,000.00. As a reminder, actual fees
collected are impacted by mandatory Medicare and Medicaid write offs, which it should be noted that
we are anticipating a 0.4 % increase in the Medicare reimbursement rate next year. The new fee for lift
assist is a non -covered service according to Medicare so it is difficult to estimate what our actual
collections on these fees will be as they will be mostly private pay.
RECCOMENDATION
We recommend that ambulance fee changes in the attached table be approved and implemented by
January 1, 2016. The increase in ambulance fees is warranted by the increase in cost of delivering
service and is within the prevailing fees for services in this region. Please direct any questions on this
matter to Chief Franz or finance Director Trena Larson.
Respectfully Submitted,
Timothy R Franz
Timothy R Franz
Fire Chief
Approved:
City Manager
Mark Rohloff
City Hall, 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903-1130 920.236.5002 http://www.ci.oshkosh.wi.us
PROPOSED CITY OF OSHKOSH FIRE DEPARTMENT
AMBULANCE SERVICE RATES
To Be Effective 1-1-17
ITEM ITEM DESCRIPTION
NO.
CURRENT
CHARGE
PROPOSED
CHARGE
1 BLS Resident
600.00
600.00 no change
2 BLS Non Resident
700.00
700.00 no change
3 ALS Emergency Resident
675.00
700.00
4 ALS Emergency Non -Resident
800.00
800.00 no change
5 ALS Level II Resident
750.00
850.00
6 ALS Level II Non -Resident
850.00
950.00
7 Mileage
15.00 / Mile
15.00/Mile no change
8 ALS Treat No Transport Resident
250.00
400.00
9 ALS Treat No Transport Non -Res.
550.00
600.00
10 BLS On Scene Care
250.00
250.00
11 Lift Assist
No current charge
$50.00
11 Urgent Care
100.00
125.00
1. Rate recommendations are based on cost to provide service, national averages and trends.
2. All medications and supplies charged at cost plus a minimum of 100%.
Oshkosh Fire Department
2016 Rate Survey
N/S/R = No Specific Rate Provided
N/C = No Charge
LIFEQUEST
100 SERVICES
Comparison Updated On: 11 /30/2016 LL
Winnebego County Co# 172
Oshkosh Fire Department (City of)
Chief Tim Franz
101 Court Street
Oshkosh, WI 54901
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BLS - Resident
$ 625.00
$ 575.00
$ 625.00
$ 581.00
$ 745.00
$ 600.00'°
$ 625.17
BLS - Non Resident
$ 800.00
$ 675.00
$ 725.00
$ 681.00
$ 845.00
$ 700.00"`
$ 737.67
ALS - Resident
$ 725.00
$ 650.00
$ 725.00
$ 749.00
$ 750.00
$ 675.00 ,
$ 712.33
ALS - Non Resident
$ 900.00
$ 775.00
$ 850.00
$ 824.00
$ 850.00
$ 800.00
$ 833.17
ALS2 - Resident
$ 850.00
$ 725.00
NSR
$ 1,390.00
$ 770.00
$ 750.00;'
$ 897.00
ALS 2 - Non Resident
$ 1,000.00
$ 850.00
NSR
$ 1,490.00
$ 870.00
$ 850.00
$ 1,012.00
Mileage - Resident
$ 15.00
$ 13.75
$ 14.25
$ 15.00
$ 15.00
$ 15.00
$ 14.67
Mileage - Non Resident
$ 17.00
$ 14.25
$ 14.75
$ 15.50
$ 15.00
$ 15.00
$ 15.25
Oxygen
$ 60.00
$ 60.00
$ 60.00
NSR
$ 65.00
$ 60.00
$ 61.00
Spinal Immobilization
$ 150.00
NSR
$ 140.00
NSR
$150.00
$ 125.00"
$ 141.25
BLS On Scene Care
$ 300.00
$225.00
$ 275.00
$ 262.00
$ 250.00
$ 250.00'
$ 260.33
ALS On Scene Care - Res.
$ 725.00
$ 350.00
$ 525.00
$ 612.00
$ 500.00
$ 250.00
$ 493.67
ALS On Scene Care - Non Res.
$ 825.00
$ 500.00
$ 725.00
$ 762.00
$ 650.00
$, 550.00
$ 668.67
N/S/R = No Specific Rate Provided
N/C = No Charge
LIFEQUEST
100 SERVICES
Comparison Updated On: 11 /30/2016 LL
Winnebego County Co# 172
Oshkosh Fire Department (City of)
Chief Tim Franz
101 Court Street
Oshkosh, WI 54901