Agenda 09/27/2022 Item #16E 9 (Resolution - Approval for a revised resolution for Collier County Emergency Medical Services to reinstate a fee schedule for Specialty Care Transports)09/27/2022
EXECUTIVE SUMMARY
Recommendation to approve a revised Resolution for Collier County Emergency Medical
Services to reinstate a fee schedule for Specialty Care Transports (SCT) that had been formerly
omitted and to supersede Resolution No. 21-175; and providing for an effective date.
OBJECTIVE: To provide up-dated user fees for Collier County ambulance services that
includes Charge Code A0434 Specialty Care Transport (SCT) superseding Resolution No. 21-
175; and providing for an effective retroactive date of October 1, 2021.
CONSIDERATIONS: Pursuant to Collier County Ordinance No. 96-36 provides that the
Board of County Commissioners may, by Resolution, establish user fees for ambulance services.
It was found after the Board approved resolution 21-175 that Collier County EMS omitted one
CPT Charge Code, A0434 SCT. This code was omitted based on false findings that Collier
County EMS could not bill for this charge unless the specialty critical care crew were employed
by the Board of County Commissioners. Collier County EMS did research and found that
ambulance providers are permitted to bill for this level of service and that the specialty critical
care personnel (hospital staff) do not have to be employed by the Board of County
Commissioners; therefore, the Resolution is being amended to reflect the additional code. This
charge code is not used often and only when patients are transported between hospitals (inter-
facility and/or intra-facility) for a higher level of care including a level of service beyo nd the
scope of the EMT and/or Paramedic. The SCT charge code is our highest- level ground
transport code. For FY22 there have only been fourteen (14) SCT transports to date.
16.E.9
Packet Pg. 1677
09/27/2022
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 – SCT (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
FISCAL IMPACT: The SCT ground transport code estimated additional revenue of $5,000 -
$15,000 each year.
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. 21-175; and authorize the Chairman to execute the Resolution.
Prepared by: Cherie DuBock, Accounting Supervisor, Emergency Medical Services
ATTACHMENT(S)
1. Resolution EMS billing - JAK signed (PDF)
16.E.9
Packet Pg. 1678
09/27/2022
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.9
Doc ID: 23239
Item Summary: Recommendation to approve a revised Resolution for Collier County Emergency
Medical Services to reinstate a fee schedule for Specialty Care Transports (SCT).
Meeting Date: 09/27/2022
Prepared by:
Title: – Emergency Medical Services
Name: Cherie DuBock
09/02/2022 2:44 PM
Submitted by:
Title: Division Director - EMS Operations – Emergency Medical Services
Name: Tabatha Butcher
09/02/2022 2:44 PM
Approved By:
Review:
Emergency Medical Services Tabatha Butcher Director Review Completed 09/05/2022 10:04 PM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 09/06/2022 8:58 AM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 09/06/2022 9:42 AM
Office of Management and Budget Susan Usher Additional Reviewer Completed 09/15/2022 9:45 AM
County Manager's Office Dan Rodriguez Level 4 County Manager Review Completed 09/19/2022 2:27 PM
Board of County Commissioners Geoffrey Willig Meeting Pending 09/27/2022 9:00 AM
16.E.9
Packet Pg. 1679
16.E.9.a
Packet Pg. 1680 Attachment: Resolution EMS billing - JAK signed (23239 : Ems Billing Revised Resolution)
16.E.9.a
Packet Pg. 1681 Attachment: Resolution EMS billing - JAK signed (23239 : Ems Billing Revised Resolution)
16.E.9.a
Packet Pg. 1682 Attachment: Resolution EMS billing - JAK signed (23239 : Ems Billing Revised Resolution)
16.E.9.a
Packet Pg. 1683 Attachment: Resolution EMS billing - JAK signed (23239 : Ems Billing Revised Resolution)
16.E.9.a
Packet Pg. 1684 Attachment: Resolution EMS billing - JAK signed (23239 : Ems Billing Revised Resolution)
16.E.9.a
Packet Pg. 1685 Attachment: Resolution EMS billing - JAK signed (23239 : Ems Billing Revised Resolution)
16.E.9.a
Packet Pg. 1686 Attachment: Resolution EMS billing - JAK signed (23239 : Ems Billing Revised Resolution)