Misc 04/29/1998 fmNAi ) North Naples � ire (Cont rol & kes cue
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"�` ` c 1441 PINE RIDGE ROAD • NAPLES, FLORIDA 34109
4 (941) 597-3222
FLA. Fax (941) 597-7082
April 21, 1998
Mr. Robert Laird
Kings Lake
1765Courtyard Way
Naples, FL 34112
•
Dear Bob:
Please accept my apology for missing the last two EMSAC meetings. There were some family
emergencies that came up, and I did not think to call.
Please be advised that Battalion Chief Brett Ortengren will be representing me at the next
meeting and reporting back to the Fire Chiefs' Association. As this is a non voting position,
Battalion Chief Ortengren is more than qualified to answer any questions or to bring back any
questions that the Committee may have back to the Fire Chiefs' Association.
Again, I am sorry for the unexcused absence.
Sincere ,
James W. Tobin
Fire Chief
JWT:ls
cc: Chairman Berry, Collier County Board of Commissioners
Bob Fernandez, County Administrator
Leo Ochs, Administrator of Support Services
Diane Flagg, Chief
April 12, 1998
Chairman Barbara B. Berry
Collier County Board of Commissioners
3301 East Tamiami Trail
Naples, Florida, 34112
Attention: Sue Filson
Ref: Chief Jim Tobin
Dear Chairman Berry:
Chief Tobin was appointed President of the Collier County Fire Chiefs Association in
January 1998, and as President of the Fire Chiefs Association he was designated to serve
as an ex-officio member of the Emergency Medical Services Advisory Council (EMSAC),
without the right to vote.
For our January 28, Chief Tobin sent as a representative Lt. Orly Stolts. During that
meeting Mr. Stolts was furnished, by me, a copy of the EMSAC by-laws, asking him to
give the copy to Chief Tobin, so that he would be aware of our rules and regulations.
Chief Tobin failed to attend our February 25, meeting and did not call to be excused. He
also failed to attend our March 25 meeting and also failed to call to be excused.
All members of the EMSAC Council who have missed two un-excused consecutive or
three un-excused total meetings in one year would be subject to dismissal from the
council. In view of the foregoing it was recommended by a majority of the EMSAC
Council members that Chief Tobin be dismissed from this advisory council. It is the
EMSAC Advisory Boards recommendation that the Board of County Commissioners
except this recommendation.
Sincerely,
Bob Laird, Chairman
Emergency Medical Services Advisory Council
cc: Robert Fernandez, County Administrator
Leo Ochs, Support Services Administrator
EMS DEPARTMENT
FUNDING OPTIONS
Projected FY 99 budget - $10,000,000
Option #1 No user fee
$49.24 per year(based upon taxable value of$100,000)
millage rate 0.4924
Option #2 User,fees $252/$4.00 per mile - 7 mile cap
(Medicare allowable fee amounts)
$32.36 per year (based upon taxable value of$100,000)
millage rate 0.3236
Option #3 User.fees$300$5.00 per mile - 7 mile cap
$29.07 per year (based upon taxable value of$100,000)
millage rate 0.2907
Option #4 User fees$302; no mileage charge
$30.50 per year (based upon taxable value of$100,000)
millage rate 0.3050
• FY 99 911 responses = 28,000
• FY 99 projected transports 16,800
• Collection rate of 7-5%
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MEDICARE PART B POST OFFICE BOX 2078 •JACKSONVILLE,FLORIDA 32231-0048
April 2, 1997
APR -7 ENT
ATTN VICKI LYNCH
COLLIER COUNTY EMS REVENUE SERVICES N HORSESHOE DRIVE
NAPLES FL 33942-6917
Dear Ms. Lynch:
This is in follow-up to our telephone conversation on March 19, 1997 regarding your
maximum allowances and how the Inflation Indexed Charges are calculated.
Attached please find a worksheet that may help you understand how the these allowances
are calculated.
First, the current Inflation Indexed Charge (IIC) is calculated using the prior year customary,
prevailing, and IIC. The lesser of the these three is identified, then multiplied by the current
Consumer Price Index for all Urban Consumers (CPI-U)provided to Medicare Part B by the
Health Care Financing Administration.
Example: Procedure Code A0324
The January 95 Prevailing is the lowest amount $299.80 x 1.030 (1996 CPI-U) =$308.79
(the 1996 IIC).1
The January 96 Prevailing is the lowest amount $305.50 x 1.028 (1997 CPI-U)_$314.05
(the 1997 IIC).
Second, to determine your maximum allowances for ambulance services,the reasonable
charge basis is utilized. The lesser of your customary, customary IIC,prevailing,prevailing
IIC or actual charge is selected as your maximum allowance.
I trust this information proves helpful. If you have any questions,please feel free to -
contact me directly at(904) 791-6287.
Sincerely,
Lorna C. Mersereau-Basford
Operations Analyst
System Management
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January 14, 1998
Attention: Ms. Evelyn Holmes
Medicare Provider Education
PO Box 2078
Jacksonville, FL 32231-0048
RE: Rates for 1998 Medicare Provider No. A0517
Dear Ms. Holmes:
Enclosed are our fee screens for 1997 and 1998. We are a bit confused on why
we will not be paid in accordance with our charges. As previously explained to
us, we had to establish a rate for 18 months prior to the beginning of the year in
order to increase our fee. On July 1, 1996, Collier County EMS began charging
$302 per trip. We had been told that we would receive an increase January 1,
1998 to coincide with the increase Collier County made on July 1, 1996.
Also, please note that our IIC was much higher last year than this year. We are
quite curious to know why this has been lowered. This makes the IIC the lowest
of the three figures.
We would appreciate if you could call us so we can discuss why the increase is
only 1.3% of our previous rate. We can be reached at (941)-403-2350. We
would like to set up a conference call at your earliest convenience.
Thank you for your prompt attention to this matter.
Sincerely,
Teresa A. Riesen, Revenue Manager
Collier County Department of Revenue
TAR:pc
Enclosures
G:Medicare Fee Letter January 20,1998
. MEDICARE PART B POST OFFICE BOX 2078 •JACKSONVILLE,FLORIDA 32231-0048
MARCH 17, 1998
COLLIER COUNTY GOVERNMENT
ATTN: TERESA A RIESEN REVENUE MANAGER
2802 N HORSESHOE DR
NAPLES FL 34101
Dear Ms. Riesen:
This is a follow up to our recent telephone conversation in which you
requested the fee data for the Fee Screen Year 1994.
Our records show the following information recorded in our history files
for the Fee Screen Year 1994. The charge data used during this update is
based on services rendered July 1,1992 through June 30,1993:
Code Customary Customary IIC Prevailing Prevailing IIC
A0330 $305.00 $287.00 $280.00 $249.78
(2,736 svcs)
In calculating the customary charge, all charges received for a specific
service during the data collection period is arrayed from low to high and
50 percentile of the total charges is selected as the customary charge.
In the array of charges received, the $305.00 charges reflect the 50
percentile of the total charges billed for the above code. However,
Medicare allowance is always based on the lower of the customary,
customary inflation indexed charge (IIC), the prevailing, prevailing
indexed charge (IIC) or the provider's charge. In this example, your
allowance is $249.78 based on the prevailing IIC.
In reviewing your charge history files, I find that the source of the 1998
customary IIC is linked to the $250.00 customary charge. For the Fee
Screen years 1996 and 1997, your allowance for code A0330 was
$250.00 based on the customary charge. The 1998 customary IIC
amount was calculated based on the previous year's allowance($250.00).
Thus $250.00 (97 allowance) X 1.0130 (98 IIC factor amount)}= 253.25.
7693-887 SR
• MEDICARE PART B POST OFFICE BOX 2078•JACKSONVILLE,FLORIDA 32231-0048
The IIC factor amount is provided to the Medicare carrier by the Health
Care Financing Administration (HFCA) on an annual basis.
I hope this information is helpful. If additional questions should develop
regarding this review, please feel free to contact me at your convenience.
Sincerely,
ujihu
Evelyn olmes
Medicare Part B
Provider Education
7693-8S7 SR
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EMS DEPARTMENT
FUNDING OPTIONS
Projected FY 99 budget - $10,000,000
Option #1 No user fee
$49.24 per year(hased upon taxable value of$100,000)
mileage rate 0.4924
Option #2 User fees $252/$4.00 per mile - 7 mile cap
(Medicare allowable,fee amounts)
$32.36 per year (based upon taxable value c f$100,000)
millage rate 0.3236
Option #3 1Iser fees$300/$5.00 per mile - 7 mile cap
$29.07 per year (based upon taxable value of$100,000)
mileage rate 0.2907
Option #4 (Iser fees$302; no mileage charge
$30.50 per year (based upon taxable value of$100,000)
mileage rate 0.3050
• FY 99 911 responses = 28,000
• FY 99 projected transports 16,800
• Collection rate of 75%
Electronic Mail
Message #417426
Date: Friday, April 17, 1998 8:41:44 AM
From: Diane B. Flagg
To: Diane B. Flagg
Topic:
(cc: of #417401)
TO: EMS Commanders & Captains,
FROM: Diane B. Flagg, Chief
DATE: April 17, 1998
REF:
The demonstrated commitment and professionalism of our colleagues is evident!
Following briefings with the officers, the EMS Advisory Council members were briefed
regarding potential temporary revisions in staffing assignments. The feedback was dear,
our colleagues are supportative of doing whatever it takes and working together as a
team, to accomplish a common mission.
In light of the recent meeting and information shared between the Officers and County
Administrator and the potential impact staffing reassignments may have, please continue
with the current staffing assignments untils advised otherwise. Your continued
cooperation is greatly appreciated!
to: @Super
cc: @Capt
Diane B. Flagg
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