Agenda 09/14/2021 Item #16E13 (Resolution - for user fees from ambulance services09/14/2021
EXECUTIVE SUMMARY
Recommendation to approve a Resolution providing for user fees for Collier County ambulance
services, billing and collection procedure, hospital transport billing and updated fees, adjustments
of EMS user fees pursuant to Collier County Ordinance No. 96-36, waiver of EMS user fees for
special events, and a procedure for approving payment plans; superseding Resolution No. 08-27;
and providing for an effective date.
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OBJECTIVE: To provide updated user fees for Collier County ambulance services to bring them more
in line with comparable services, updated billing and collection procedure, updated hospital transport
billing and fees, adjustments of EMS user fees pursuant to Collier County Ordinance No. 96-36, waiver
of EMS user fees for special events, and a procedure for payment plans; superseding Resolution No. 08 -
27; and providing for an effective date of October 1, 2021.
CONSIDERATIONS: Collier County Ordinance No. 96-36 provides that the BCC may, by Resolution,
establish user fees for ambulance services. County staff has reviewed the County’s EMS user fee
schedule adopted by the BCC in FY 08 and recommends the proposed increase in rates to align with fees
more closely being charged by other EMS agencies in the state. A rate increase analysis was performed
by Digitech, whom EMS uses as their billing vendor. Extensive research went into the analysis and both
rates for public and private agencies in Florida were reviewed.
BASE RATES:
SERVICE LEVELS CODES BASE CHARGES
A. EMS - BLS NON-EMERGENCY A0428 $ 800.00
B. EMS - BLS EMERGENCY A0429 $ 800.00
C. EMS - ALS 1 NON-EMERGENCY A0426 $ 800.00
D. EMS - ALS 1 EMERGENCY A0427 $ 800.00
E. EMS - ALS 2 EMERGENCY A0433 $ 850.00
F. EMS - SPECIALTY CARE A0434 $ 900.00
G. EMS - TREATMENT WITHOUT TRANSPORT A0098 $ 175.00
H. EMS - HELICOPTER A0431 $ 7,500.00
MILEAGE RATES:
SERVICE LEVELS CODES MILEAGE CHARGE
A. EMS - GROUND UNIT A0425 $ 15.00
(Minimum charge of 1 mile and no cap)
B. EMS - AIR UNIT A0436 $ 185.00
(Minimum charge of 1 mile and no cap)
SPECIAL EVENTS AND MISCELLANEOUS RATES:
SERVICE LEVELS RATES
A. TWO (2) MEDICS/ONE ALS VEHICLE (PER HOUR) $ 150.00
B. ONE (1) MEDIC/NOVEHICLE (PER HOUR) $ 50.00
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FISCAL IMPACT: Approval of this Resolution would result in increased revenue of approximately
$275,000-$325,000 for ground transportation and $105,000-$115,000 for helicopter transportation
annually.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, is approved as to
form and legality, and requires majority vote for approval. -JAK
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact resulting from this
action.
RECOMMENDATION: That the Board of County Commissioners approve the Resolution amending
EMS ambulance service user fees, which Resolution shall supersede and replace Resolution No. 08-27;
and authorize the Chairman to execute the Resolution.
Prepared by: Erin Cook, Accounting Supervisor, Emergency Medical Services
ATTACHMENT(S)
1. Resolution 2021 increase EMS billing rates - JAK signed (PDF)
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COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.13
Doc ID: 17814
Item Summary: Recommendation to approve a Resolution providing for user fees for Collier
County ambulance services, billing and collection procedure, hospital transport billing and updated fees,
adjustments of EMS user fees pursuant to Collier County Ordinance No. 96-36, waiver of EMS user fees
for special events, and a procedure for approving payment plans; superseding Resolution No. 08 -27; and
providing for an effective date.
Meeting Date: 09/14/2021
Prepared by:
Title: Accounting Technician – Emergency Medical Services
Name: Erin Page
08/18/2021 3:19 PM
Submitted by:
Title: Division Director - EMS Operations – Emergency Medical Services
Name: Tabatha Butcher
08/18/2021 3:19 PM
Approved By:
Review:
Emergency Medical Services Tabatha Butcher Director Review Completed 08/18/2021 5:51 PM
Agenda Clerk Preview Michael Cox Agenda Clerk Preview Completed 08/22/2021 7:56 AM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 08/23/2021 9:17 AM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 08/23/2021 9:51 AM
Office of Management and Budget Laura Wells Additional Reviewer Completed 08/24/2021 9:16 AM
County Manager's Office Geoffrey Willig Level 4 County Manager Review Completed 09/07/2021 2:42 PM
Board of County Commissioners Geoffrey Willig Meeting Pending 09/14/2021 9:00 AM
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Packet Pg. 2785 Attachment: Resolution 2021 increase EMS billing rates - JAK signed (17814 : EMS User Fee Increase)
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Packet Pg. 2791 Attachment: Resolution 2021 increase EMS billing rates - JAK signed (17814 : EMS User Fee Increase)