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HomeMy WebLinkAboutAmending Chapter 9 Entitled Ambulance Medical User fee and DedicatedORDINANCE No. 7414 -84 Passed by the Common Council of the City of South Bend, Indiana December 3, rq 84 Attest: 4 /��`"`�` ° --J Cit y Clerk IRENE K. GAMMON of Common Council Presented by me to the Mayor of the City of South Bend, Indiana Approved and signed by December 4, 1984 City Clerk IRENE K. GAMMON .,-? 111-7 BILL NO. ORDINANCE NO. "7!1 J — g J AN ORDINANCE AMENDING CHAPTER 9, ARTICLE 3 OF THE SOUTH BEND MUNICIPAL CODE, ENTITLED AMBULANCE /MEDICAL USER FEE AND DEDICATED FUND STATEMENT OF PURPOSE AND INTENT: By Ordinances No. 6483 -78 and 6897 -81, the South Bend Common Council has established fees which will off -set partially the expense of providing ambulance and paramedic services to the citizens of South Bend and a dedicated fund for such fees as received. In conformity with the requirement of an annual review of user fees, the Council finds that adjustment of current fees are required in order to reflect more accurately the cost of providing ambulance and paramedic services. NOW, THEREFORE, BE IT ORDAINED BY THE SOUTH BEND COMON COUNCIL, as follows: SECTION 1. Chapter 9, Article 3 of the South Bend Municipal Code, entitled Ambulance /Medical User Fee and Dedicated Funds, shall be amended at Section 9 -16, to read as follows: Section 9 -16. Ambulance /Medical User Fee established. (a) The following user fee schedule shall be charged for all ambulance /medical services provided by the City through its paramedic branch of the Fire Department: (1) Basic Fee .................. $55.- 90 ......... $75.00 (2) Mileage Fee (per patient miles, minimum one mile) ....... .$l.- 25.- ........ $ 1.75 (3) Emergency Fee (red lights and siren) ............... $1G.- GG ......... $15.00 (4) Oxygen Fee ................. $lG.- 4G......... $15.00 (5) EKG /Monitor ..... ............... .$25.00 (b) The above fees shall be charged per patient run occurance; however, when ambulance /medical services are provided for a patient using a private am u ance, the mileage fee shall not be c arge ; and turtlier provided that when more than two mem ers o an immediate tamiIy residing at the same address are transported per incident tHe basic tee, mileage fee, and emergency ee shall only be �i iiea ror two persons. (c) The above fees shall take effect on Apr- i-1-1-, -- X9.8,1- January 1, 1985. A1-1- - fe-es - b471-le& -from --Ap rr1- -} ; - 1991,- - through - August 3-1-,- - 179-&17 T -acrd- - art -Qf - such - milss-cq-ue- rt - cal-I-ectrolrs -arrci -such - brllrng 4rcr - t+=rrra-rt -ar+ -+-m -i- Pr -(?a rrara -Tnmc+ -ref- -f-}ra -(=rtv _ SUMMARY OF AMBULANCE PROGRAM November 1978 through October 1984 Since November 1978 the City of South Bend has been charging for ambulance service. A user fee of $35.00 was adopted by Ordinance No. 6483 -78 effective November 1978. This ordinance was amended by Ordinance No. 6897 -81, which established the following user fees effective April 1981. Basic Fee $55.00 Mileage Fee 1.25 per mile Emergency Fee 10.00 Oxygen Fee 10.00 By Ordinance No. 6897 -81 a Dedicated Fund was established for capital improvements within the Fire Department. The effective date of this Fund was September 1, 1981. Since November 1978 through October 1984, we have billed $844,868.25, of which we have collected $547,308.92 (64.5 %). A total of $182,359.51 (21.5 %) has been written off by the Board of Public Works. As of October 1984 we have $115,199.82 outstanding Receivables (14 %). (1984 $64,033.84 - 1983 and prior $51,165.98) COMPARISON OF AMBULANCE RATES THROUGHOUT THE STATE OF INDIANA FOR THE YEAR 1984 FORT WAYNE E.M.S. EMS Rates: Emergency inside city $320.00 Emergency outside city 385.00 Non - emergency (call 24hrs ahead) $85.00 Non - emergency (without calling ahead $95.00 Milage $5.00 per mile Effective date of the above for at least 6 mos. Medicare pays 800 of the approval amount 20% consignment(guide lines) Medicaid only pays $85.00. TERRE HAUTE F.D. AND EMS AREA EMS rates: Are free for city and county LaPORTE - MICHIGAN CITY /LaPORTE COUNTY Ems Rates: Emergency : $70.00 includes 45.00 basic & $25.00 response Mobile Unit: $105.00, $7.50 oxygen Milage Rate: $2.00 out side county $1.50 mile inside county Effective date: January 1, 1984 Medicare pays 80% approval rate / 20% medicaid Consignment: only on medicaid, medicare or if the patient is decease GARY FIRE DEPARTMENT Ems Rates: Tranport to two hospitals ( no milage fee) Inside countv $100.00 Outside county $110.00 Date Effective: August 1983 Medicare pays 80% Consignments are handle by the hospitals VALPARAISIO - PORTER COUNTY EMS EMS rates: $75.00 emergency (basic tranport) $125.00 ALS (transport to hospital) $125.00 Mobile Intensive care $165.00 Total arrest Milage: $2.00 per mile Effective date: for the past three years Medicare: 80% approve amount Consignment: No,except for nursing home patients or Medicaid BLOOMINGTON HOSPITAL EMS rate: Basic life $89.00 ALS $185.00 Milage: $3.50 per mile Effective date: October 1, 1984 Medicare 800 of approve amount Medicaid - full amount Consignment: Yes LAFAYETTE (St. Elizabeth Hospital) EMS rate: Emergency $75.00 Advance Life: (1) $100.00 (2) $125.00 (3) $150.00 Non - emergency: $50.00 Mileage: within city $3.50 per mi. outside (county) $2.00 per mile. Effective date: For the past three years. Medicare 80% of all approve charges Consignment: Yes GOSHEN GOSHEN F.D. No charge (townships pay) They have fund drives to raise money for ambo., etc. PERU DUKES'MEMORIAL BLS ONLY 70.00 + equipment used (milease included - EXCEPT 2.50 out of county) subsidized by county increases usually yearly. per Helen Rich, nurse ROCHESTER FULTON CO. E.M.S. Base 65.00 Out of county - 1.50 /mile + base per Brenda Johnson PLYMOUTH PLYMOUTH E.M.S. Base 65.00 (90.00 out-of county) 1.50 /mile IV - charged by hospital Same charges ALS or BLS Last rate increase 2 yrs. ago per Everett Fish INDIANAPOLIS INDIANAPOLIS WISHARD MEMOR. HOSP. Base 118.00 5.00 /mile 10�./liter for oxygen No difference ALS or BLS Do not accept assignment. Last rate increase Oct. 1984 INDIANAPOLIS INDIANAPOLIS AID AMBO. SERVICE BLS 85.00 + 35.00 Emergency ALS 170.00 + drugs, supplies, procedure 3.00 /mile (Average ALS 255.00) last increase January 1984 accept assignment 95% per Nancy Herider LAFAYETTE ST. ELIZABETH HOSPITAL Emergency BLS 75.00 + 3.50 /mile loaded + itemized charges ALS 1 100.00 = Mon. & IV ALS 2 125.00 = Mon. & IV + medication ALS 3 150.00 = cardiac + itemized charges $3.50 /mile Accept assignment. No increase in years. Subsidized by County. COLUMBUS COLUMBUS F.D. No charge. Out of county $50.00 Just went into paramedics - possible rate increase. per Beth Molish, secretary WARSAW MULTI -TWP. E.M.S. Current: Basic 60.00 + 1.50 /mile ALS 75.00 " Proposed: January 1985 BLS 75.00 + 2.00 /mi ALS 100.00 + 3.00 /mi per Cindy Dobbins, Director (2.50 /mi out of county) MARION MARION GENERAL HOSPITAL BLS 105.00 ALS 200.00 + 3.00 /mile loaded Transfers 65.00 + 3.00 /mile loaded Last rate increase July 1, 1982 can't answer questions on billing - hospital business off. does that. per Steve Cruzan EVANSVILLE EVANSVILLE F.D. b� Basic 80.00 w /Paramedics + 50.00 Communication w /hospital + 50.00 Oxygen 15.00 Drugs - cost + 5% 2.00 /mile (minimum 1 mile) Last rate increase 1983 per Kathy Ellerbrook LAFAYETTE LAFAYETTE HOME HOSPITAL Basic 75.00 (ALS OR BLS) + equip., procedure, drugs $3.50 /mile loaded Accept assignment. No rate increase in years. per Darla Fall MISHAWAKA. E.M.S. MISHAWAKA $55 flat rate (Possible increase to $85 in 1985) GUISINGER'S $45.00 base 1.75 per mile 10.00 emergency 5.00 02 PORTAGE (City Of) $60 LAKE STATION (City Of) E: Free to city residents $45 to residents outside city limits RICHMOND AID AMBULANCE CO. $85 BLS +3.00 loaded mi. $140 ALS +3.00 loaded mi. $10 oxygen $30 EKG $35 emergency Itemize other charges Effective 1/1/83 Accepts assignment for ALS only MYERS AMBULANCE GREENWOOD ALS - $150 base $20 emergency $25 IV $25 EKG $20 02 $3 per mile LIFE SOUTH BEND $60 base $15 emergency $2 per mile $20 02 1/4 tank ADVANCED LIFE SUPPORT SOUTH BEND $65 base $2 per mile $5 emergency $15 02 per 1/4 tank McGANN'S SOUTH BEND $75 base ($67.50) $2 per mile $15 emergency ($10.00) $15 02 ($10.00) $25 EKG ($25) BLS - $85 base $3 per mile Monitor A - EKG /IV - $75 Monitor B - $150 KOKOMO KOKOMO FIRE DEPT. Free to city residents only ELKHART ELKHART FIRE DEPT. Free to city residents. $115 to residents outside of city limits. Rates effective 1980. Medicare pays full amt. Accepts assignment. They do no paperwork or insurance forms. ANDERSON ANDERSON FIRE DEPT. Free to city residents $100 non - residents Rates effective 12/82 Accepts assignment but bills for the rest EAST CHICAGO EAST CHICAGO E.M.S. Free - city limits only MERRIVILLE MEP.RIVILLE E.M.S. $45 Merriville and Ross Twp. $65 outside of those areas Rates effective 1979 Accepts assignment and does rebill only if they haven't met deductible. MUNCIE DELAWARE CO. E.M.S. $65 BLS $100 ALS - Itemize other charges Effective 1983 Accepts assignment SOUTH BEND FIRE DEPARTMENT 701 W. Sample Street South Bend, Indiana 46621 Timothy J. Brassell Fire Chief CITY ®f SOUTH BEND ROGER O. PARENT, Mayor COUNTY -CITY BUILDING South Bend Common Council County -City Building South Bend, IN 46601 Dear Council Members: SOUTH BEND, INDIANA 46601 November 13, 1984 2191284 -9255 The Fire Department proposes to amend the 1981 "Ambulance Program Ordinance" which regulates fees charged for Fire Department ambulance services. The rationale for amending the fee schedule is based on the cost to provide this service compared to income derived from it. The chief factor in determining a new rate schedule was, and is, the prevailing rates charged by other providers both public and private, in our area and state wide. The overriding consideration in establishing this new fee shedule is the charges allowed and payable by health insurance policies, Medicare and Medicaid, for ambulance services. It is the intention of this proposed fee increase to take advantage of the maximum allowable insurance coverage while minimizing any additional out of pocket expenses to the citizens. To this end we have itemized the charges of various levels of service and treatment. Following is a breakdown of present fees charged compared to the proposed fee schedule. Present Basic Fee Mileage Fee (per pt. miles) Oxygen Fee Emergency Fee (red lights & siren) Proposed $55.00 Basic Fee 1.25 Mileage Fee (min. 1 mile) 10.00 Oxygen Fee 10.00 Emergency Fee (red lights & EKG /Monitor $75.00 1.75 15.00 15.00 siren) 25.00 South Bend Common Council November 13, 1984 Page Two We also recommend that a NON- TRANSPORT USER FEE be adopted. This fee would be charged when our medic units respond to meet a private ambulance with a critical patient. This fee would be the same as above with the exception that the mileage fee and oxygen fee would not be charged due to the fact that the private ambulance transported the patient and uses their oxygen. We also recommend that when more,than two (2) members of a family are transported to the hospital per incident, that we bill a maxi- mum of two. We recommend that the proposed increases be effective January 1, 1985. We will be discussing this matter further with you at the informal Council session or in committee if you so desire. Sincerely, Timot y /ef rassell Fire Ch TJ B /vm Attach: (4) Ordinance No. 6483 -78 (original) Ordinance No. 6897 -81 (amended) Summary of Ambulance Procedures Comparison of Ambulance Rates throughout State of Indiana (f ammiUrr Report '3o toe Tom= Tounril of t4e tlitg of #3out4 leuD: Your Committee OF THE WHOLE to whom was referred 137 -84 A BILL AMENDING CHAPTER 9, ARTICLE 3 OF THE SOUTH BEND MUNICIPAL CODE, ENTITLED AMBULANCE /MEDICAL USER FEE AND DEDICATED FUND. Respectfully report that they have examined the matter and that in their opinion THIS BILL SHOULD BE RECOMMENDED TO THE COUNCIL FAVORABLEs AS AMENDED: CHANGE EMERGENCY FEE FROM $50 TO $15 Joseph T. Serge Chairman FREE PRESS PUBLISHING CO.