HomeMy WebLinkAboutAgenda Report - February 1, 1984 (44)CITY COUNCIL MEETING
February, 22, 1984
00MV11CAMNS
City Clerk Reinche
presented a letter dated- February 2'1,
198-4 which had been received from W— 1 Arron=lance Service
CITY CLERK
notifying the City
of a rate mods f icat ion
they plan to
y G
lop l ement for their fiscal 1984-8.5 budget.
Coonc ll di rec t ed
RME M IFICATICN
that the letter be
reviewed by Staff, and
that a report
RBCEIVED FilMI
be made to Council
following the review at
the regular
110619� UCDI A1VE LANM
SERVICE
Counc i 1 meeting of
March 7. 1984.
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Lodi Ambulance Service »xs.. %<1,,
February 21, 1984
Alice Reimche
City Clerk
City of Lodi
221 West Pine Street
Lodi, California 9:5240
Dear Mrs. Reimche,
This is to notify the City of Lodi of a rate modification we plan
to implement for our fiscal 1984-1985 budget.
This adjustment will allow us to cover an approximate $75,000.00
increase in cost of operation of which approximately $39,000.00 will go
to salary and benefit increases and $36,000.00 for equ-ipment purchases
and replacement.
Enclosed in this packet is the new and old rate schedule, an explan-
ation of actual out of pocket expense to the user for basic and advance
care service we would provide.
Any further communication should be directed to my office.
Re ctfu y
ichael Nilsen
President
Enclosures
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Lodi Ambulance Service ,aawsy. I. P.awxw * =".CA"241
The out of pocket expense to the patient is a concern to both the
patient and us, the provider. Even though, many of our patients have
their service paid for 100% by private third payor insurance many must
pay 20% of their cla-im out of pocket-,. Currently the average patient
pays- $24.00 out of pocket for every $120-00 charged. With this rate
modification a fee of $28-.60 wowl-d-be out of pocket expense thus a
$4.60 increase to the patient.
We feel this Justifiable as we are elimi=nating all Orthopedic and
Obstetrical service fees as- Individual charge items. The charges will
be expensed out in the new ambulance fees. The necessity behind this
is to allow a smoother billing system due to the social reimbursement
programs which reimburse us for these services in the Basic Ambulance
Rates. We have eliminated three Advances LIf4 Support fees; Suc-tionIng,
Oral, Airway and Esophogeal Intubation. The suction fee will be expensed
out in the basic rates. The airway and esophogeal, intubation are becoming
obsolete in use and if used will be expensed out in the ALS Fee of $55.00
we currently charge.
There will be no increase in ALS fees at the current time and we do
not foresee any increase in the current future.
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Lodi Ambulance Service imv&sma"st. *. P.awxsv - toDcA gsw 2ov/334-om
BASIC LIFE SUPPORT CARE
1982 SCHEDULE
1984 SCHEDULE
BASE RATE
20.00
20.00
1 Patient
95.00
107.00
2 Patients (each)
80.75
96.30
3 Patients (each)
76.60
90,95
MILEAGE (per mile)
5.00
6.00
NIGHT CALL (7 am to 7 pin)
20.00
29.00
EMERGEnCY
20.00
30,00
OXYGEN
25.00
20.00
WAITING TIME (per 15 min.)
14.25
15.00
STAND-BY TIME (per 15 min.)
10.75
10.75
ADVANCE LIFE SUPPORT CARE
ADVANCE LI , SUPPORT,
55.00
5-5,00
TELEMETRY-
20.00
20.00
EKG
40.00
40.00
HEART/LUNG RESUSCITATOR
40.00
40.00
SUCTION
16.00
omit
RESUSCITATOR
16.06
1-.600
ORAL AIRWAY
5.00
omit
ENDO TRACHEAL INTUBATION
40.00
40.00
ESOPHOGEAL INTUBATION
40.o0
omit
MED ANTI SHOCK TROUSERS
34.00
34.00
NEEDLE THORACOTOMY
75.00
75.00
NEEDLE CRICOTRACHE3TOMY
75.00
75:.00
ORTHOPEDIC CARE
ORTHOPEDIC STRETCHER
25.00
omit
SPINAL BOARD SHORT
16.00
omit
SPINAL BOARD LONG
16.00
omit
SAND BAGS (each,)
3..50
omit.
LADDER- SPLINT
16.00
omit
TRACTION SPLINT
16400
omit
CARDBOARD SPLINT
12.00
oinit
INFLATION SPLINT
12.,00
omit
OBSTETRIC CARE
CHILD DELIVUY-
40.00
omit