HomeMy WebLinkAboutAgenda Report - February 6, 1985 (83)19
CITY OOUNCT-I MEE I I:VG
FIBTUARY 6, 1985
R1i'E 1% )IFICAi'I(_-I\I Following introduction of the nuitter by City Clerk Reimche,
RE(,i:T13,M) 13Y COUI1Ci I , on motion of Council Ak-N ber Reid, Olson second,
La)I A%IMANCE. continued to the Regular Council N"Iceting of February 20, 1985
>IuWICF. consider;ltion of' the letter from the Lodi Ant;u'.ance Service
rc(luesting a rate modification effective March 1, 1985.
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Lodi Ambulance Service
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1
a January 30, 1985
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City Clerk
Alice Reimche
3
City of Lodi
221 W. Pine St.
Lodi, CA 95240
Dear Ms. Reimche:
t"EC E! r�
Ci.- {
1709S. STOCKTON ST. • P.O. k4&5q • IIJDT' 9y2. 1 • 209/334-0830~
This is to notify the City of Lodi of a rate modification
we plan to implement as of March 1, 1985.
Mainly due to the Federal Health Care Finance Administration
change in the billing policies of December 1982, we are going
f to change all patient billing for Emergency Advanced Life
Support or Emergency Basic Life Support, to an All -Inclusive
Base Rate. Currently, Blue Cross and Blue Shield have requested
us to bill in this manner, and other insurances will be following
suit in the near future. Approximately 54% of all patients
currently billed by this company are billed by using an All -
Inclusive Base Rate. To standardize our billing procedure
system, we feel it is important to adopt this policy.
The Basic Emergency ambulance rate is currently $137.00.
This rate includes $107.00 Base Rate, $30.00 Emergency Rate.
Advanced Life Support Base Rate averages out to $259.45, which
usually includes Base Rate $107.00, Emergency Rate $30.00,
Advanced Life Support $55.00, EKG $40.00, Telemetry $20.00,
and miscellaneous ancillary charges. We will increase the
Advanced Life Support rate to Medicare's maximum allowance
of $272.00. This is a 6% increase we feel necessary to cover
costs for advanced medical care. Please note that our Advanced
Life Support rate has not been increased since June of 1982.
(cot::. )
-2 -
We will be eliminating the Advanced Life Support charges of
Telemetry, EKG, Heart/Lung Resuscitator, Resuscitator,
Endotracheal Intubation, Medical Anti -Shock Trousers,
Needle Thoracotomy, Needle Cricotracheotomy and Waiting
Time.
Our basic ambulance rate of $107.00 will be decreased to
$95.00 - an 11% decrease. We feel that it is necessary to
decrease this basic rate for the convenience of our users,
as the cost of basic medical transportation is not as ex-
pensive as a'n emergency service due to the ability of our
office to control and. schedule these transfers.
A proposed rate schedule is included for your convenience.
Should you have any questions pertaining to this change,
please feel free to call me.
Re pectfull�+ yours„
Michael Nilssen
MN/jc
Encl.
1 (1) Current HCFA Billing procedure for Emergency Basic
ambulance Base Rate which currently includes Base
Rate $107.00 and Emergency $30.00, to total $137.00.
(2) Current HCFA Billing procedure for Emergency Advanced
ambulance Base Rate $107.00, Emergency $30.00, Advanced
3 Life Support $55.00, EKG $40.00, Telemetry $20.00, and
any other ancill%.r-,.., service in Advanced Life Support
Category which usually total to $259.45 on the average
throughout 1983, 1984.
AMW
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Lodi AmbulanceService
2xytie.MiT..»TS.<'Nt40:riY5t. ..:.:..eL.1Ta11i:::B.001-Y
1709S. STOCKTON ST. •
P.O. BOX 597 • LODI, r A. 95241 •
209/334-pg3a
1983 SCHEDULE
1985 SCHEDULE
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BASE RATE/BASIC
BASE RATE/BASIC
1 Patient $107.00
95.00
'
a
2 Patients (each)
96.30
85.50
3 Pationts (each)
90.95
80.75
s
s
MILEAGE (per mile)
6.00
6.00
NIGHT CALL
28.00
28.00
(1)EMERGENCY
30.00 + 107.00
(1)137.00
OXYGEN
20.00
20.00
j
WAITING TIME (per 15 min.)
15.00
omit
i
ADVANCED LIFE SUPPORT
ADVANCED LIFE SUPPORT
55.00
(2)272.00
TELEMETRY
20.00
omit
EKG
40.00
omit
HEART/LUNG RESUSCITATOR
40.00
omit
RESUSCITATOR
16.00
omit
ENDOTRACHEAL INTUBATION
40.00
omit
MED. ANTI -SHOCK TROUSERS
34.00
omit
s
NEEDLE THORACOTOMY
75.00
omit
NEEDLE CRICOTRACHEOTOMY
75.00
omit
1 (1) Current HCFA Billing procedure for Emergency Basic
ambulance Base Rate which currently includes Base
Rate $107.00 and Emergency $30.00, to total $137.00.
(2) Current HCFA Billing procedure for Emergency Advanced
ambulance Base Rate $107.00, Emergency $30.00, Advanced
3 Life Support $55.00, EKG $40.00, Telemetry $20.00, and
any other ancill%.r-,.., service in Advanced Life Support
Category which usually total to $259.45 on the average
throughout 1983, 1984.
Y:. �,-Ow
§ 2A-19 Lodi City Code § -A-19
(b) Multiple casualties, triage direction;
(c) Paramedic directive. r
(Ord. No. 1306. § 18.)
Sec. 2A-19. Rates to be charged for ambulance service.
(a) The owner of every ambulance operating in the ci_y shall
file with his application for an ambulance operator's permit, '
a true and correct schedule of rates to be charged for the j r_
transportation of passengers in any and all vehicles operated by
said operator. Said rates shall not be cihang3d or modified
in any manner without first filing said changed or modified
rates with the city clerk thirty days prior to the effective date t
of such change or modification.
? E:
(b) The city council reserves the right to finally determine
and fix by resolution the rates to be charged by the operator
of the ambulance service. (Orli. No. 1306, § 19.) _
1
34.10