HomeMy WebLinkAboutAnnual Review of User Fees, South Bend Fire Department •
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I222 S.MICHIGAN STREET ? U *d PHONE 574 23 5- 25 S
SOUTH BEND,INDIANA 46601-2821 W FAX 574J 235 935
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CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
SOUTH BEND FIRE DEPARTMENT
STEPHEN F. COX
FIRE CHIEF
May 31, 2019
Filed in Clerk's Office
Common Council
227 W. Jefferson Boulevard MAY 31 2019
455 County-City Building
South Bend, IN 46601 KAREEMAH FOWLER
CITY CLERK,SOUTH BEND,IN
Introduction:
As stated in City Ordinance No. 9887-08, regarding the City of South Bend Fire Department's
Ambulance/Medical User Fees, per Section 9-18, Annual Review of User Fees by the Common
Council, the South Bend Fire Department has prepared the following report to be filed with the
office of the City Clerk on or before June I', 2019.
What follows is a summary of 2018 ambulance/medical service activity by amount billed,
amount collected, amount in collection,number of lawsuits filed, and recommendations
regarding fee amounts.
Ambulance Runs by Unit:
From January 1, 2018 to December 31,2018 the five city ambulance units responded to
16,365 calls for service. This includes transports to the hospital, fires, refusals of treatment,
etc. The following chart list calls per ambulance:
Medic Unit Number of Calls
Medic 1 2,558
Medic 2 3,730
Medic 3 3,748
Medic 4 3,212
Medic 5 3,117
Total 16,365
MICHAEL J. DAMIANO TODD L. SKWARCAN ANDREW J.MYER JOHN CORTHIER FEDERICO ROD/RIGUEZ,JR
ASST.CHIEF OPERATIONS ASST.CHIEF SERVICES ASST.CHIEF EMS ASST.CHIEF TRAINING FIRE MARSHAL
Ambulance Runs by Type:
The following chart includes all billable calls made by Department ambulances and total
billable mileages:
Type of Run # of Runs #of Runs Total
Non- Calls by
Resident Resident Type
(1) Basic Life Support(BLS Non-Emergency) 9 - 9
(2) Basic Life Support(BLS Emergency) 6,056 812 6,868
(3)Advanced Life Support(ALS Non-Emergency) 0 0 0
(4)Advanced Life Support(ALS-1 Emergency) 4,286 604 4,890
(5)Advanced Life Support(ALS-2 Emergency) 61 17 78
(8) Non Transport ALS Medical Call 64 - 64
Totals 10,476 1,433 11,909
BLS Mileage 32,981
ALS Mileage 25,721
Total Mileage 58,702
Amounts Billed and Collected:
As of December 31st,the following amounts have been billed:
2018 Amount
Amount billed $ 7,626,193.11
Amount collected $ 4,404,671.69
Amount in collections (Krisor Account Services) $ 973,809.80
Amount in collections (City Legal Dept.) $ -
Number of Lawsuits brought 0
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2019 Ambulance User Fee Recommendation:
South Bend Ordinance No. 9887-08 requires the Fire Department to issue an annual
recommendation with regards to ambulance user fees. The current fees set by this ordinance
were calculated from the 2017 Medicare Fee Schedule. The fees are 150% of the allowable
reimbursement set by Medicare. The proposed fees have been calculated using 2019
allowable rates.
Medicare typically adjusts its fee schedule annually. Most often, this will result in an
increase in reimbursable amounts. Due to continued increases in costs for medical supplies
and fluctuations in the costs for fuel, I am recommending increasing our fees as follows:
2019 Proposed Ambulance User Fees Current Resident Current Non-Resident Proposed Resident 1.5 Proposed Non-Resident
Advanced Life Support,non-emergency,Level I(ALSI)(A0426) $ 386.63 $ 514.20 $ 398.18 $ 564.89
Advanced Life Support,emergency,Level 1(ALSI-Emergency)(A0427) $ 612.12 $ 814.16 $ 630.45 $ 894.40
Basic Life Support,Non-emergency(BLS)(A0428) S 322.19 $ 428.51 $ 331.82 $ 470.74
Basic Life Support,emergency(BLS-Emergency)(A0429) S 515.49 $ 685.60 $ 530.91 $ 753.18
Paramedic Intercept(PI)(A0432) NA NA $ 580.68 S 823.79
Advanced Life Support.Level 2(ALS2)(A0433) $ 886.01 $ 1,178.39 $ 912.50 S 1,294.53
Specialty Care Transport(SCT)(A0434) S 1,047.09 $ 1,392.63 S 1,078.41 S 1,529.90
Milage Basic S 12.66 S 12.66 S 12.66 S 12.66
Milage Rural S 19.16 S 19.16 S 19.16 S 19.16
Non-transport Medical Calls S 150.00 S 200.00 S 200.00 S 200.00
I would be happy to discuss any items in this report, and the pursuit of the language changes
outlined above.
Sincerely,
South Bend Fire Department
A
,
Stephe F. Cox
Fire C i of
Filed in Clerk's Office
MAY 31 2019
KAREEMAH FOWLER
CITY CLERK,SOUTH BEND,IN
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