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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 U. CL w w w o w w w j a cc m a) "0 03U_ U- U_ yU LL w _U a C = a) U) = W M o7 Q y 41 U as a)_ U E ip m U) y 0 m o LL = a) t a) LL N o y N R �, o as o o 0 o a r o M Description Charge Z ai - a in -i Y ¢ -i m -1 2 -1 O o -1 a 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