Agenda 12/14/2021 Item #16E 3 (Renewal of annual COPCN)16.E.3
12/14/2021
EXECUTIVE SUMMARY
Recommendation to renew the annual Collier County's Certificate of Public Convenience and
Necessity (COPCN) for Collier County Emergency Medical Services to provide Class 1 Advanced
Life Support Transport (ALS) for one year and authorize the Chairman to execute the Permit and
Certificate.
OBJECTIVE: To allow Emergency Medical Services to continue to provide Advanced Life Support
(ALS) services to the citizens and visitors to Collier County.
CONSIDERATIONS: Collier County Emergency Medical Services (EMS) is currently operating under
a COPCN for ALS transport. Section 50-60 of Collier County Code of Laws and Ordinances allows
renewal certificates to be approved routinely by the Board upon advice of the County Manager or
designee. The Director of Emergency Management is the County Manager's designee.
In addition, Section 50-60 provides that renewals be based on the same standards as the granting of the
original COPCN along with such other factors as may be relevant. The minimum requirements for an
application to be deemed complete are set forth Section 50-57 of the Code of Laws and Ordinances. The
application is back-up to this item.
Section 50-60 of the Code of Laws and Ordinances provides:
Each certificate holder shall file within 90 days of expiration, an application for renewal of his
certificate. Renewals shall be based upon the same standards, as the granting of the original
certificate along with such other factors as may be relevant. The renewal certificate may be
approved routinely by the board, upon advice of the administrator, or the board may hold a
hearing on same.
The Director of Emergency Management recommends approval based on his finding that there is a public
necessity for EMS to provide the service and that all other requirements have been met.
If this item is approved by the Board, the renewal COPCN and Permit will commence on January 1, 2022,
and expire on December 31, 2022.
This item was reviewed by the Emergency Medical Authority prior to submission to the Board of County
Commissioners.
FISCAL IMPACT: There is no fiscal impact associated with this action.
GROWTH MANAGEMENT IMPACT: None
LEGAL CONSIDERATIONS: A hearing is not required for renewal. If a hearing is held, the Board
must find that the standards set forth in Section 50-57 of the Code of Laws and Ordinances have been
satisfied based on competent evidence as follows:
(1) That there is a public necessity for the service. In making such determination, the Board of
County Commissioners shall consider, as a minimum, the following factors:
a. The extent to which the proposed service is needed to improve the overall emergency
medical services (EMS) capabilities of the County.
b. The effect of the proposed service on existing services with respect to quality of service
and cost of service.
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12/14/2021
16.E.3
C. The effect of the proposed service on the overall cost of EMS service in the county.
d. The effect of the proposed service on existing hospitals and other health care facilities.
e. The effect of the proposed service on personnel of existing services and the availability of
sufficient qualified personnel in the local area to adequately staff all existing services.
(2) That the applicant has sufficient knowledge and experience to properly operate the proposed
service.
(3) That, if applicable, there is an adequate revenue base for the proposed service.
(4) That the proposed service will have sufficient personnel and equipment to adequately cover the
proposed service area.
This item is approved as to form and legality and requires a majority vote for approval. JAB
RECOMMENDATION: That the Board of County Commissioners accepts the Director of the Bureau
of Emergency Services' findings; and approves and authorizes the Chairman to execute a Permit and
renewal COPCN to Collier County Emergency Medical Services for Class 1 ALS Transport.
Prepared by: Tabatha Butcher, EMS Chief
ATTACHMENT(S)
1.2022 CCEMS COPCN Renewal Application (PDF)
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16.E.3
12/14/2021
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.3
Doe ID: 20580
Item Summary: Recommendation to renew the annual Collier County's Certificate of Public
Convenience and Necessity (COPCN) for Collier County Emergency Medical Services to provide Class 1
Advanced Life Support Transport (ALS) for one year and authorize the Chairman to execute the Permit
and Certificate.
Meeting Date: 12/14/2021
Prepared by:
Title: Accounting Technician — Emergency Medical Services
Name: Erin Page
11/04/2021 12:01 PM
Submitted by:
Title: Division Director - EMS Operations — Emergency Medical Services
Name: Tabatha Butcher
11/04/2021 12:01 PM
Approved By:
Review:
Emergency Management
Emergency Medical Services
Agenda Clerk Preview
County Attorney's Office
Office of Management and Budget
Office of Management and Budget
County Attorney's Office
County Manager's Office
Board of County Commissioners
Daniel Summers
Additional Reviewer
Tabatha Butcher
Director Review
Michael Cox
Agenda Clerk Preview
Jennifer Belpedio
Level 2 Attorney of Record Review
Debra Windsor
Level 3 OMB Gatekeeper Review
Laura Wells
Additional Reviewer
Jeffrey A. Klatzkow Level 3 County Attorney's Office Review
Sean Callahan
Level 4 County Manager Review
Geoffrey Willig
Meeting Pending
Completed
11/04/2021 12:18 PM
Completed
11/04/2021 12:58 PM
Completed
11/08/2021 3:06 PM
Completed
11/09/2021 9:15 AM
Completed
11/09/2021 9:27 AM
Completed
11/09/2021 2:20 PM
Completed
11/10/2021 10:21 AM
Completed
12/06/2021 8:49 AM
12/14/2021 9:00 AM
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16.E.3.a
Memorandum
To: Mark Isackson, County Manager
From: Tabatha Butcher, Chief
Emergency Medical Services Division
Date: October 15, 2021
Subject: Certificate of Convenience and Necessity for Collier County
Emergency Medical Services Department
Per Collier County Ordinance Number 04-12, as amended, please accept the following information for
renewal of this required certificate:
1. Collier County Emergency Medical Services Department is operated by the County's Board of
County Commissioners located at:
3299 East Tamiami Trail
Naples, Florida, 34112
The Board of County Commissioners is comprised of the following individuals:
Rick Locastro, District 1
Andy Solis, District 2
Burt Saunders, District 3
Penny Taylor, District 4
William L. McDaniel, Jr., District 5
The age of each member may be located at the Board of County Commissioner's Office.
2. Collier County Emergency Medical Services Department will continue to provide service to the
2,032 square miles encompassing Collier County.
3. Collier County Emergency Medical Services Department has a total of fifty-six (56) State
permitted vehicles. forty-three (43) of these are licensed ground transport ambulances and two
(2) air ambulances (helicopters). There are also thirteen (13) licensed ALS vehicles (non -
transport). Of the above, twenty-six (26) licensed ground ambulances, and one (1) air ambulance
(helicopter) operate 24 hours a day, seven days a week. At least two (2) additional ground
transport permitted ambulances may operate 12 hours a day, seven days a week (as needed)
during the seasonal months and are taken out of the reserve ambulances. The remaining,
seventeen (17) licensed ALS ground transport ambulances are held in reserve. (Attachment A).
Collier County Emergency Medical Services
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16.E.3.a
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Collier County Emergency Medical Services Department has one main office and twenty-six
(26) substations located throughout Collier County at the following locations:
Headquarters
Station 1
Station 2
Station 10
Station 20
Station 21 (2 units)
Station 22
Station 23
Station 24
Station 25
Station 30
Station 31
Station 32
Station 40
Station 42
Station 43
'Station 44
Station 46
Station 48
Station 50
Station 60
Station 70
Station 71
Station 75
Station 76
Station 90
MedFlight
8075 Lely Cultural Pkwy.
835 8t' Avenue South
977 26t' Avenue
14756 Immokalee Road
4798 Davis Blvd.
11121 E. Tamiami Trail
4375 Bayshore Drive
7227 Isle of Capri Road
2795 Airport Road North
3675 The Lords Way
112 South 11'
1107 Carson Road
4819 Ave Maria Blvd.
1411 Pine Ridge Rd.
7010 Immokalee Road
16325 Vanderbilt Drive
766 Vanderbilt Beach Road
3010 Pine Ridge Road
16280 Livingston Road
1280 San Marco Road.
201 Buckner Avenue
4741 Golden Gate Parkway
95 13t' Street SW
4590 Santa Barbara Blvd.
490 Logan Blvd
175 Isle of Capri Road
2375 Tower Drive
Naples, Florida
Naples, Florida
Naples, Florida
Naples, Florida
Naples, Florida
Naples, Florida
Naples, Florida
Naples, Florida
Naples, Florida
Naples, Florida
Immokalee, Florida
Immokalee, Florida
Ave Maria, Florida
Naples, Florida
Naples, Florida
Naples, Florida
Naples, Florida
Naples, Florida
Naples, Florida
Marco Island, Florida
Everglades, Florida
Naples, Florida
Naples, Florida
Naples, Florida
Naples, Florida
Naples, Florida
Naples, Florida
Collier County Emergency Medical Services Department has been licensed and certified to
provide Advanced Life Support ambulance service in Collier County since April 6, 1981.
Three (3) Collier County residents to act as references:
Nancy Laschied 4500 Gulfshore Blvd. N. - #903 Naples, Florida 34103
Dr. James Hampton 823 Bentwood Drive Naples, Florida 34108
Scott Lowe 6101 Pine Ridge Rd Naples, Florida 34119
Collier County Emergency Medical Services Department schedules of service fees
(Attachment B).
October 15, 2021 Memorandum from Dan Summers, Director of Emergency Management to
County Manager Mark Isackson stating no further information required (Attachment Q.
Collier County Emergency Medical Services Department financial statement is available in
Collier County's Finance Department,
Collier County Emergency Medical Services
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COLLIER COUNTY FLORIDA
Renewal of Class 1 COPCN
This Permit Expires December 31, 2022
Name of Service:
Collier County
Emergency Medical Services
Name of Owner or Manager:
Collier County
Board of County Commissioners 3
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Principal Address of Service: 8075 Lely Cultural Parkway, Naples, Florida 34113
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Business Telephone: 239 252-3740 v
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Emergency Telephone: 9-I-1 co
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Description of Services Area: The 2,032 square miles encompassing Collier County v
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i Number of Ambulances on 24- hour duty: 26 ground units (ambulances) Q
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Number of Ambulances on 12- hour duty: 2 ground units (as needed during season taken from reserve fleet).
Number of reserve Ambulances: 17 2
Number of non -transport ALS vehicles 13
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Number of Medivac helicopter: 2
See attachment "A" for description of vehicles.
This permit, as provided in Ordinance 04-12, as amended, shall allow the above named Ambulance Service to
operate Emergency Medical Services for a fee or charge for the following area(s): Collier County until the
expiration date hereon, except that this permit may be revoked by the Board of County Commissioners of Collier
County at any time the service named herein shall fail to comply with any local, state or federal laws or regulation
applicable to the provision of Emergency Medical Services.
Issued and approved this
ATTEST:
Crystal K. Kinzel, CLERK
Deputy Clerk
Approved as to form & legality:
Jennifer A. Belpedio
Assistant County Attorney
day of , 2022.
BOARD OF COUNTY COMMISSSIONERS
COLLIER COUNTY, FLORIDA
Penny Taylor, Chairman
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EXHIBIT ,_,...i......---
Page , of,..r.�..,._
Permit#
ALS :
Year -
Make
Model
VIN
As
1453
T
1999
EUROCOPTER
EC135
N911CK
MHQ
2022
T
2019
AIRBUS
H135
N911CB
MHQ
22340
T
2019
FORD
F550
1 FDUF5GT9KDA04460
Truck 41
23189
T
2020
FORD
F550
1 FDUF5GT9LDA03369
Truck 7
23192
T
2020
IFORD
F550
1FDUF5GT9LDA03372
Truck22
23190
T
2020
FORD
F550
1FDUF5GT5LDA03370
Truck
17255
T
2012
FORD
F550
1FDUF5GT8CEB23691
Truck 1
17256
T
2012
FORD
F550
1 FDUF5GTXCEB23692
Truck 25
17257
T
2012
FORD
F550
1FDUF5GT10EB23693
Truck27
17258
T
2012
FORD
F550
1 FDUF5GT3CEB23694
Truck 37
18087
T
12013
FORD
F550
1 FDUF5GTODEA35168
Truck 38
18088
T
2013
FORD
F550
1 FDUF5GT7DEA35166
Truck 24
18089
T
2013
FORD
F550
1 FDUF5GT2DEA35169
Truck 15
18090
T
2013
FORD
F550
1FDUF5GT9DEA35167
Truck
18866
T
2015
FORD
F550
1 FDUF5GT7FEA64024
Truck 14
18867
T
2015
IFORD
F550
1FDUF5GT9FEA64025
Truck31
18868
T
2015
FORD
F550
1 FDUF5GTOFEA64026
Truck 39
18869
T
2015
FORD
F550
1FDUF5GT2FEA64027
Truck40
23191
T
2020
FORD
F550
1 FDUF5GT7LDA03371
Truck 18
19044
T
2015
FORD
F550
1FDUF5GT8FEC82389
Truck
19046
T
2015
FORD
F550
1 FDUF5GT6FEC82391
Truck 43
19047
T
2015
FORD
F550
1FDUF5GT8FEC82392
Truck30
19048
T
2015 IFORD
F550
1FDUF5GTXFEC82393
Truck42
20437
T
2015
FORD
F650
3FRWF6GZ1FV675309
Truck33
20443
T
2016
FORD
F550
1FDUF5GT8GED28644
Truck 3
20444
T
2016
FORD
F550
1FDUF5GT6GED28645
Truck 11
20445
T
2016
FORD
F550
1FDUF5GTXGED28643
Truck 19
20548
T
2015
FORD
F550
1FDUF5GT4FEC82390
Truck20
20549
T
2019
FREIGHTLINER
M2EC
2FZACFDJ18AZ51747
Truck 35
20550
T
2007
STERLING
ACETERA
2FZACFCS17AY33965
Truck 34
22299
T
2019
FORD
F550
1 FDUF5GT1 KEE37245
Truck 44
22298
T
2019
FORD
F550
1FDUF5GTXKEE37244
Truck
21169
T
2017
FORD
F550
1FDUF5GT5HDA02856
Truck21
21170
T
2017
FORD
F550
1FDUF5GT9HDA02858
Truck 16
21171
T
2017
FORD
F550
1 FDUF5GT7HDA02857
Truck 36
22300
T
2019
FORD
F550
1FDUF5GT3KEE37246
Truck 17
22301
T
2019
FORD
F550
1FDUF5GT5KEE37247
Truck 10
21405
T
2017
FORD
F550
1FDUF5GT1HEF21218
Truck
21403
T
2017
FORD
F550
1FDUF5GT1HEF21221
Truck 32
21404
T
2017
FORD
F550
1FDUF5GT3HEF21219
Truck29
21709
T
2017
FORD
F550
1FDUF5GTXHEF21220
Truck 12
21861
T
2019
FORD
F550 1
FDUF5GT4KDA01 138
Truck 02
21862
T
2019
FORD
F550 1FDUF5GT6KDA01139
Truck23
21863
T
2019
FORD
F550 1
FDUF5GT2KDA01 140
Truck 26
21864
T
2019
FORD
F550 1FDUF5GT4KDA01141
Truck28
20438
N 2017
FORD
EXPLORER 1FM5K8AROHG664925
CC2-1628
20439
N 2017
IFORD
EXPLORER
1FM5K8AR2HGB64926
CC2-1630
20440
N 2017
FORD
EXPLORER
1FM5K8AR4HGB64927
CC2-1629
20441
N 2017
FORD
EXPLORER
1FM5K8AR6HGB64928
CC2-1632
19797
N 2016
FORD
EXPLORER
1FM5K8ARXGGAO8079
CC
1130
19303
N 2015
FORD
EXPLORER
1FM5K8AROFGC26952
CC2-1076
19304
N 2015
FORD
EXPLORER
1FM5K8AR2FGC26953 CC2-1085
21084
N 2013
IFORD
EXPLORER
1FM5K8R8DGA18380
CC2-668
21085
N 2016
FORD
EXPLORER
1
FM5K8AR2GGA46941 CC2-1135
21086
N 2017
FORD
EXPLORER
1FM5K8AR7HGC57022
CC2-1631
21087
N 2017
FORD
EXPLORER
1FM5K8AR3HGA36372
CC2-1401
21088
N 2016
FORD
EXPLORER
1FM5K8AR5GGC07850
CC2-1314
21089
N 2020
FORD
EXPLORER
1FM5K8AWOLGC13670
CC2-2547
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RESOLUTION NO.2021 - 17 5
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, PROVIDING FOR UPDATED EMS USER
FEES FOR COLLIER COUNTY AMBULANCE SERVICES, UPDATED
BILLING AND COLLECTION PROCEDURE, HOSPITAL TRANSPORT
BILLING AND FEES, ADJUSTMENTS OF EMS USER FEES PURSUANT "3
TO COLLIER COUNTY ORDINANCE NO. 96-36, WAIVER OF EMS USER
FEES FOR SPECIAL EVENTS, AND AN UPDATED PROCEDURE FOR
APPROVING HARDSHIP CASES AND PAYMENT PLANS; SUPERSEDING Z
RESOLUTION NO.08-27; AND PROVIDING FOR AN EFFECTIVE DATE. a
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WHEREAS, Collier County Emergency Medical Services (hereinafter referred to as (n
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"EMS") provides ambulance services to the residents and visitors of Collier County; and v
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WHEREAS, the Collier County EMS operating budget is funded through ad valorem taxes
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and user fees; and c
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WHEREAS, the Board of County Commissioners has an Agreement with Digitech
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Computer, Inc. (hereinafter referred to as to "Billing Consultant") to provide collection services for
ambulance services and associated fees; and Q
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WHEREAS, this Resolution is intended to apply irrespective of whether EMS billing staff, Q
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Digitech Computer, Inc., or any other billing consultant is responsible for the collection of fees for
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ambulance services; and
WHEREAS, Collier County Ordinance No. 96-36 §5 provides that user fees for ambulance v
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services may be established by Resolution of the Board of County Commissioners (hereinafter Q
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referred to as to "the Board"). 2
NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that:
SECTION ONE: EMS USER FEES
BASE RATES:
SERVICE LEVELS
A. EMS — BLS NON -EMERGENCY
B. EMS — BLS EMERGENCY
C. EMS — ALS I NON -EMERGENCY
CODES
BASE CHARGES
A0428
$ 800.00
A0429
$ 800.00
A0426
$ 800.00
,CAP)
121-EMS-0 1060/ 165 9114 / 11
Packet Pg. 2068
16.E.3.a
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D.
EMS — ALS 1 EMERGENCY A0427
$ 800.00
E.
EMS — ALS 2 EMERGENCY A0433
$ 850.00
F.
EMS — TREATMENT W/O TRANSPORT A0098
$ 175.00*
G.
EMS — HELICOPTER A0431
$ 7,500.00
MILEAGE RATES:
SERVICE LEVELS CODES
MILEAGE CHARGE
A.
EMS —GROUND UNIT A0425
$ 15.00
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(Minimum Charge of 1 mile and no cap)
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B.
EMS —AIR UNIT A0436
$ 185.00
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* There shall be no Treatment W/O Transport (F) charges for third party calls, public assistance
calls, or traffic accidents where only assessments are performed, and no treatment is required.
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SPECIAL EVENTS AND MISCELLANEOUS RATES:
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SERVICE LEVELS
RATES
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TWO (2) MEDICS/ONE ALS VEHICLE (PER HOUR)
$ 150.00
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B.
ONE (1) MEDIC/NO VEHICLE (PER HOUR)
$ 50.00
COPIES: Copying fees will be consistent with Resolution No. 07-327, as amended from time to
time.
PAST DUE ACCOUNTS IN COLLECTIONS
INTEREST ON PAST DUE ACCOUNTS 1 % monthly
SECTION TWO: BILLING COLLECTION PROCEDURE
The following shall be the minimum guidelines for billing and collection procedures for
ambulance service fees and charges:
A. Initial fees and charges for ambulance service(s) shall be assessed either prior to or
following the provision of service, as service dynamics reasonably allow. Unpaid fees and
charges, subsequent to time of service shall be reflected in an accounts receivable subsidiary
ledger system to be maintained by the EMS Division. Billing Consultant shall follow all
applicable rules and regulations set forth by Centers for Medicare/Medicaid (CMS) that
pertain to ambulance billing.
B. EMS Billing Staff will transmit all data necessary to Billing Consultant to process the claim.
[2 1 -EMS-01 060/1659114/ 11
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Packet Pg. 2069
16.E.3.a
1. Billing Consultant will send an initial bill to the service recipient's or responsible
parry's insurance carrier as soon as insurance information has been received,
validated, and entered by the Billing Consultant on the account.
2. When a valid patient address is present, the Billing Consultant will follow the patient
statement cycle outlined below.
i. An initial statement for ambulance services, including the HIPAA notice of
privacy practices shall be sent seven (7) or more days after the data is entered
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by the Billing Consultant, but no later than (30) thirty days after service has v
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been provided.
ii. In the event the service recipient or responsible party does not have or does not w
provide proof of insurance coverage after three billing cycles (30-day cycles) v
for a total of (90) ninety days, their account will be sent to the County's CO
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Collection Agency vendor. N
C. The Billing Consultant will provide a file with patients to be sent to collections to the o
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County's contracted collection agency when all attempts to collect on the account have been
exhausted by the Billing Consultant. The County may direct the Billing Consultant to not Q
send a patient to collections at any time. Billing Consultant may send a patient to 3
collections prior to exhaustion of all collection efforts when:
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1. The patient account has an invalid address. z
2. Billing Consultant is directed by County to send a patient to collections.
D. Interest will be assessed at 1 % per month on all accounts that are sent to the County's
contracted collection agency. If a time payment plan is established with collection agency,
no bureau reporting will occur unless the account goes into default after (60) sixty days of
non-payment.
E. A reasonable and customary payment plan will be made available for all service recipients
or responsible parties. Should the service recipient or responsible party at the time fail to
meet the terms and conditions of the payment plan for a period of (60) sixty days, the unpaid
balance shall reenter the collections process set forth in Section C. above at the point in the
collections process at which it was taken out for a payment plan to be administered.
F. When ambulance service bill(s), at any stage in this billing and collection procedure, are
returned because the Postal Service cannot effectuate delivery, the Billing Consultant shall
make reasonable effort to ascertain the correct mailing address. If reasonable efforts to
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ascertain a correct address fail, the account(s) may be considered for other collection
alternatives.
Nothing contained in this Section shall preclude reasonable telephone or other appropriate
contact for billing and collection purposes, in accordance with all applicable laws.
Throughout the fiscal year, the EMS Billing Section shall review all past due accounts and --
report to the Board of County Commissioners on an annual basis, of all past due accounts
which are believed to be uncollectible.
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The Board may, after reviewing these past due accounts and after finding that diligent a
efforts at collection have proven unsuccessful, remove these past due accounts from active
accounts receivable in accordance with generally accepted accounting procedures and w
pursuant to law by Resolution. v
Probate Estate Cases: Should a decedent have an unpaid balance for ambulance services,00
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the following shall occur: N
1. The decedent's Personal Representative or Attorney representing their estate will o
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notify EMS Billing Staff that a probate estate has been filed with the Probate
Court.
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2. Collier County Clerk of Courts Probate Department sends Collier County EMS a 3
monthly Probate summary report.
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3. Collier County EMS's contracted billing vendor reviews the summary report for z
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any accounts with unpaid balances and notifies EMS of accounts with balances a.
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due. co
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4. EMS Billing Staff shall ensure that a Notice of a Claim is timely filed with the v
Probate Court. v
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5. EMS Billing Staff shall ensure that the Office of the County Attorney is timelyCD
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notified of such claim and provided with: (1) a copy of ambulance bill(s), (2) all
correspondence between EMS Billing Staff/Billing Consultant and Personal
Representative, (3) Notice of Claim filed with the Probate Estate, and any other
information necessary to pursue the claim.
6. The Office of the County Attorney shall take all reasonable actions that are
necessary to pursue such claim, including but not limited, to filing a lawsuit in
the County Court to pursue such claim.
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7. If the estate has assets and $10,000 or less is owed for ambulance services, the
EMS Chief and the County Attorney are authorized to take reasonable actions to
reach a settlement with the Personal Representative or his attorney. Should a
settlement be reached, the EMS Chief and the County Attorney are authorized to
execute a satisfaction and/or release on behalf of the County. If the estate has
assets and in excess of $10,000 is owed for ambulance services, any negotiated
settlement/compromise of the ambulance billing claim shall be approved by the
Board of County Commissioners. If the estate has nominal assets or no assets,
the County Manager may waive the rates, fees, and charges as set forth in this
Resolution or in Ordinance No. 96-36, as it may be amended, replaced, or
superseded.
K. All accounts with a balance of less than $10 will be written off.
SECTION THREE: HOSPITAL TRANSPORT BILLING AND FEES
A. The fees set forth in Section One of this Resolution shall apply to ambulance transports that
occur between hospital facilities.
B. Should a hospital within the boundaries of Collier County have the need for a transport of a
patient between hospital facilities located within the boundaries of Collier County,
ambulance transport will be provided.
C. Should a hospital within the boundaries of Collier County have the need for a transport of a
patient to hospital facilities located outside the boundaries of Collier County, the County
will, subject to equipment and manpower availability and at its sole discretion, utilize its
resources to provide patient transport.
D. Hospitals requesting ambulance transports shall be invoiced directly for ambulance transport
service on a monthly basis.
SECTION FOUR: ADJUSTMENT OF EMS USER FEES
The following shall be minimum guidelines for adjustments to ambulance service fees. The
Board of County Commissioners, in accordance with criteria established by the enabling Ordinance,
may authorize other adjustments.
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A. Medicare and Medicaid Adjustments. Contractual adjustments under Medicare and/or
Medicaid assignment will be made in accordance with applicable Medicare and/or
Medicaid rules and regulations.
B. Victim's Compensation Contractual Adjustments. Contractual adjustments will be
made in accordance with applicable state, federal and local rules and regulations.
C. Worker's Compensation Contractual Adjustments. Contractual adjustments will be
made in accordance with applicable state, federal and local rules and regulations.
D. Champus/Tricare Adjustments. Contractual adjustments will be made in accordance
with applicable Champus/Tricare rules and regulations.
E. Railroad Retirement Adjustments. Contractual adjustments will be made in accordance
with applicable state, federal and local rules and regulations pertaining to Railroad
Retirement Adjustments.
F. Bankruptcy: After receipt of a signed Discharge of Debtor notice, any account balances
prior to the discharge date will be adjusted off.
G. Social Services Adjustments. Contractual adjustments will be made in accordance with
rules established by the County Manager and memorialized by a memorandum of
understanding executed by the Social Service Director and the EMS Director.
SECTION FIVE: WAIVER OF EMS USER FEE FOR SPECIAL EVENTS.
User fees for EMS ambulance stand-by services may be waived if the Board finds that a
valid public purpose has been established in recognition of their charitable contributions to the
Community.
SECTION SIX: HARDSHIP CASES AND PAYMENT PLANS.
The Board recognizes that certain service recipients may need to be identified and processed
as hardship cases. Payment plans for hardship cases will be set up on a monthly basis, with a
minimum payment of $25.00. Hardship cases placed on a payment plan will not accrue interest or
be placed into collection. Notwithstanding the foregoing, if a service recipient has a payment plan
and does not make the agreed scheduled payments for a period longer than two (2) months, the
account will be turned over to the County's contracted collection agency and interest will begin to
accrue.
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16.E.3.a
SECTION SEVEN: SUPERCISION OF RESOLUTION NO.08-27.
This Resolution shall supersede Resolution No. 08-27.
SECTION EIGHT: EFFECTIVE DATE
This Resolution shall become effective on October 1, 2021.
PASSED AND DULY ADOPTED by the Board of County Commissioners of Collier
County, Florida, this _1401 day of September, 2021.
ATTEST: BOARD OF OUNTY COMMISSIONERS
CRYSTAL K. KINZ' Tt,-CLERK COLLIER 0 , FLORIDA�
By: ��.�(�-�- By:
Deputy d k -
Atfest as to Chairr►iap s
siq> or# Ink t :;
Approved Ns tk fFrr fiand !W,%4ty:
Jeffrey A. tzk jq,-Munty Attorney
Penny Ta} tbr, Chair
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ATTACHMENT C
MEMORANDUM
TO: Mark Isackson, County Manager
FROM: Dan Summers, Director Emergency Management
DATE: October 23, 2021
REF: Certificate of Convenience and Necessity for Collier County
Emergency Medical Services Department
After review of the application to renew this certificate for Collier County
Emergency Medical Services Department, no further information is required at
this time. The application is complete and sufficient.
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