Minutes 07/10/1996 EMERGENCY MEDICAL SERVICE ADVISORY COUNCIL
(EMSAC)
INFORMAL MINUTES
July 10, 1996
3:00 P.M.
EMERGENCY MEDICAL SERVICES
HEALTH BUILDING
3301 East Tamiami Trail
Council Mike Davis Excused Members: Roger Evans
Members: Chris Nind Rhona Saunders
Sharon Hanlon
Bob Schank
Bob Laird Unexcused Members: Robert Margraf
J.P. Gunther-Mohr Sheldon Reed
Palma Fuson
Joe Young
Others: Diane B. Flagg
John Yonkosky
Vickie Lynch
Leo Ochs
Jeff Page
Barbara Brown
The regular monthly meeting of the Collier County EMSAC committee was called to order
at 3:00 p.m. on Wednesday, July 13, 1996 by Joe Young, Chairman.
Minutes of the June 12, 1996 meeting were approved.
Proxy Vote Discussion: Sharlon Hanlon mention there was an ammendment to the by-
laws in order to allow for a proxy vote. The question came up last year if you give your
proxy to someone, do you tell them who you want to vote for or does the person receiving
the proxy have the right to exercise their own option. Attorneys have advised Sharlon if
the by-laws are silent that it is assumed the offeree can exercise their own option. The by-
laws were officially adopted by the committee, but Chairman Young feels the by-laws need
to be approved by the Board of Commissioners. Diane will check on this issue. If a proxy
vote is to be used, it needs to be determined how it will be finalized. After a brief
discussion it was decided the vote would come by a sealed written proxy and delivered to
the EMS Director prior to the commencement of the regular scheduled meeting.
A motion was made by Bob Laird to continue with the current wording. This motion
passed by ascent.
EMERGENCY MEDICAL SERVICES
AGENDA
August 14, 1996
3:00 PM CALL TO ORDER
READING OF THE MINUTES
3:15 PM PRESENTATION BY FT. MYERS BILLING
3:25 PM QUESTIONS FROM EMSAC MEMBERS
3:40 PM PRESENTATION BY D.O.R. - John Yonkosky
4:00 PM QUESTIONS FROM EMSAC MEMBERS
4:15 PM REPORT FROM MEDICARE REIMBURSEMENT
4:30 PM MEMBERSHIP APPLICATION REVIEW
4:45 PM' MISCELLANEOUS BUSINESS
Membership Application Review:
Diane Flagg passed out the resume's of the two candidates that have applied for the District
One vacancy; Dr. Fay Biles and Paula Camposano. There was one candidate for District
Two vacancy; Mr. Paul Gunther-Mohr for re-appointment. There were no candidates for
District Five.
Chairman Young wanted the committee to know they can recommend any individual for a
District position; however, the Board has the final say as to whom they will appoint. The
individual cannot be a member of more than two committess appointed by the Board of
County Commissioners. Chairman Young had a proxy vote from Rhona Saunders. After a
review of both of the candidates a vote was taken. The results were; Paula Camposano - 5,
Fay Biles - 3. The committee also recommended unaminously that J.P. Gunther-Mohr
be re-appointed to the District Two position.
EMS Billing Update:
A conference call was made to Medicaid, with Roger Evans, Bob Shank, Therese Reisen,
Vickie Lynch and John Yonkosky in attendance. Hicfa and Medicare told DOR that they
will split the process for raising the fee for DOR. They will allow DOR to increase the
reimbursement for two of the catageorys because DOR never had a standard amount set for
those two procedures, and the other catageory they will probably not. DOR has the option
to ask the Hicfa group to preform an audit. If they come down an preform the audit a
couple of things could happen. They could say DOR has been doing something wrong and
might fine the county, they may say no they aren't going to increase the rate at all, and they
might increase the rate, but they have told us that the possibility of doing this is just not
very good. They are meeting this Friday at 10:00 A.M. and will be making a
recommendation to the EMSAC committee. In reference to requesting an audit, the
committee is concerned because it immediately trigger a request from Medicare to provide
them with six of the 330 categorys, which is one of the non-emergency catageorys. All of
the six they requested were bonafide emergencies. DOR felt there was a corolation
between the reqest and the two conference calls. John's impression from Medicare after the
conference call was that they will only increase the rate for the two categorys that we not
had a reimbursably amount from them.
John handed out a Ambulance Billing report that showed $36,100 shortfall on 6/30/96.
July collections were $184,350. At this point the department is in the black, and by the end
of the July should show $60,000 to the good. Cash has been caught up. Billings are not
caught up as yet, but going into the slow season of 30 transports a day the billing should be
caught up in approximately 2 weeks. Trip Tickets are being picked up daily with Certificate
of Medical Necessity attached.
Chairman Young questioned the $418,000 reported as shortfall back to 1995. Mr.
Yonkosky said he was:anticipating collecting $300,000. $200,000 will show up in this
FY 96 and $100,000 will show up as revenue in FY 97.
Collection percentage for the National Average is 69 to 70%. John would like to have a
71%
•
Miscellaneous Business:
The ambulance station at 4th Avenue North will move to 8th Street and the new station will
be located at 26th Avenue North. They will both be housed in City of Naples Fire
Departments. A three member team will also be in effect. According to the time of
response from trip ticket documentation there was a greater need for an ambulance in the
City of Naples area than in the Bonita Shores area.
The Medic 12 station is within the budget with a donation from GAC of$50,000.
Mike Davis brought up a motion that was made at the last meeting to give the Department
of Revenue and an informal presentation by Ambulance Billing Medical 20 minutes each
to make a presentation of their billing procedures. He thought the presentations were to
be at the July meeting. Leo Ochs asked for a postponement so up to date and accurate
information could be presented. It was decided that the group could now go ahead with the
presentations. They will be scheduled for the August meeting.
Meeting adjourned
EMERGENCY MEDICAL SERVICE ADVISORY COUNCIL
(EMSAC)
INFORMAL MINUTES
July 10, 1996
3:00 P.M.
EMERGENCY MEDICAL SERVICES
HEALTH BUILDING
3301 East Tamiami Trail
Council Mike Davis Excused Members: Roger Evans
Members: Chris Nind Rhona Saunders
Sharon Hanlon
Bob Schank
Bob Laird Unexcused Members: Robert Margraf
J.P. Gunther-Mohr Sheldon Reed
Palma Fuson
Joe Young
Others: Diane B. Flagg
John Yonkosky
Vickie Lynch
Leo Ochs
Jeff Page
Barbara Brown
The regular monthly meeting of the Collier County EMSAC committee was called to order
at 3:00 p.m. on Wednesday, July 13, 1996 by Joe Young, Chairman.
Minutes of the June 12, 1996 meeting were approved.
Proxy Vote Discussion: Sharlon Hanlon mention there was an ammendment to the by-
laws in order to allow for a proxy vote. The question came up last year if you give your
proxy to someone, do you tell them who you want to vote for or does the person receiving
the proxy have the right to exercise their own option. Attorneys have advised Sharlon if
the by-laws are silent that it is assumed the offeree can exercise their own option. The by-
laws were officially adopted by the committee, but Chairman Young feels the by-laws need
to be approved by the Board of Commissioners. Diane will check on this issue. If a proxy
vote is to be used, it needs to be determined how it will be finalized. After a brief
discussion it was decided the vote would come by a sealed written proxy and delivered to
the EMS Director prior to the commencement of the regular scheduled meeting.
A motion was made by Bob Laird to continue with the current wording. This motion
passed by ascent.
Membership Application Review:
Diane Flagg passed out the resume's of the two candidates that have applied for the District
One vacancy; Dr. Fay Biles and Paula Camposano. There was one candidate for District
Two vacancy; Mr. Paul Gunther-Mohr for re-appointment. There were no candidates for
District Five.
Chairman Young wanted the committee to know they can recommend any individual for a
District position; however, the Board has the final say as to whom they will appoint. The
individual cannot be a member of more than two committess appointed by the Board of
County Commissioners. Chairman Young had a proxy vote from Rhona Saunders. After a
review of both of the candidates a vote was taken. The results were; Paula Camposano - 5,
Fay Biles - 3. The committee also recommended unaminously that J.P. Gunther-Mohr
be re-appointed to the District Two position.
EMS Billing Update:
A conference call was made to Medicaid, with Roger Evans, Bob Shank, Therese Reisen,
Vickie Lynch and John Yonkosky in attendance. Hicfa and Medicare told DOR that they
will split the process for raising the fee for DOR. They will allow DOR to increase the
reimbursement for two of the catageorys because DOR never had a standard amount set for
those two procedures, and the other catageory they will probably not. DOR has the option
to ask the Hicfa group to preform an audit. If they come down an preform the audit a
couple of things could happen. They could say DOR has been doing something wrong and
might fine the county, they may say no they aren't going to increase the rate at all, and they
might increase the rate, but they have told us that the possibility of doing this is just not
very good. They are meeting this Friday at 10:00 A.M. and will be making a
recommendation to the EMSAC committee. In reference to requesting an audit, the
committee is concerned because it immediately trigger a request from Medicare to provide
them with six of the 330 categorys, which is one of the non-emergency catageorys. All of
the six they requested were bonafide emergencies. DOR felt there was a corolation
between the reqest and the two conference calls. John's impression from Medicare after the
conference call was that they will only increase the rate for the two categorys that we not
had a reimbursably amount from them.
John handed out a Ambulance Billing report that showed $36,100 shortfall on 6/30/96.
July collections were $184,350. At this point the department is in the black, and by the end
of the July should show $60,000 to the good. Cash has been caught up. Billings are not
caught up as yet, but going into the slow season of 30 transports a day the billing should be
caught up in approximately 2 weeks. Trip Tickets are being picked up daily with Certificate
of Medical Necessity attached.
Chairman Young questioned the $418,000 reported as shortfall back to 1995. Mr.
Yonkosky said he was'anticipating collecting $300,000. $200,000 will show up in this
FY 96 and $100,000 will show up as revenue in FY 97.
Collection percentage for the National Average is 69 to 70%. John would like to have a
71% .
Miscellaneous Business:
The ambulance station at 4th Avenue North will move to 8th Street and the new station will
be located at 26th Avenue North. They will both be housed in City of Naples Fire
Departments. A three member team will also be in effect. According to the time of
response from trip ticket documentation there was a greater need for an ambulance in the
City of Naples area than in the Bonita Shores area.
The Medic 12 station is within the budget with a donation from GAC of$50,000.
Mike Davis brought up a motion that was made at the last meeting to give the Department
of Revenue and an informal presentation by Ambulance Billing Medical 20 minutes each
to make a presentation of their billing procedures. He thought the presentations were to
be at the July meeting. Leo Ochs asked for a postponement so up to date and accurate
information could be presented. It was decided that the group could now go ahead with the
presentations. They will be scheduled for the August meeting.
Meeting adjourned