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Home My WebLink AboutAgenda Report - March 7, 1984 (38)LC1 Al<FUANM Regular agenda item K-1 - "Staff report re Lodi ATbulance SERVICE RATE Service notice of rate modification received February 22, MDIFICATICN 1984" was introduced by City Manager Glaves and Assistant City Mnnager Glenn. Mr. Glenn reported that if the Council wanted a full audit. that it was not available for this meeting. Mr. Glenn r^ported that the Lodi Anbulance Service had not had a rate increase for the past 18 months and felt that it would not be necessary to request another one if the rate modification before the Council was iaplemented. A lengthy discussion followed with questions being directed to Staff and to Mr. Mike NiIssen, President of Lodi tvbulance Service who was in the audience. Mayor Pro TenWre Snider stated that lie feels that City should receive a copy of the audit and make the necessary review. A discussion followed with additional questions being posed On motion of Council Member Reid. Pinkerton second, Council voted tc take no action on the recent rate modification received from the Lodi Ambulance Service, therefore the new rates will be inplemented ns set forth in the letter received February 22. 1984. Mayor Pro Tempore Snider reiterated that the City should receive a copy of the audit. . . 4 0 'J (ICA GY February 21, 1984 Al ire Reimche City Clerk City of I-odi 221 We,,t Pine Street Lodi, California 95240 Dear Mrs. Reimcbe, This is to notify the City of Lodi of a rate modifica-tion we plan to implement for our fiscal 1984-1985 budget. This adjustment will allow us to cover an approximate S75,000-00 increase t -n cost of operation of which approxi -mately $39.000.00 will go to salary and benefit increases and S36.000.00 for equipment 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 I Re Nil sen President Enclosures MN*.bs to 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 claim out of pocket. Currently the average pati,-ent pays $24.00 out of pocket for every $120.00 charged. With this rate modification a fee of $28.60 would be out of pocket expense thus a $4.60 increase to the patient. We feel this justifiable as we are eliminating all Orthopedic and Obstetrical service fees as ind-ividual 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 socialreimbursement programs which- reimburse us for these services in the Basic Ambulance Rates. We have eliminated three Advances Life Support fees; Suctioning, Oral Airway and Esophogeal Intubation. The suction fee will be expensed out in the basic rates. The airway and esophogeal intubation are becomi>ng obsolete in use and if used will be expensed out in the ALS Fee of $55.00 we currently charge. There will be no increase in ALS fees at the current time and we do not foresee any increase in the current future. MN:bs 40 W, N Y `'V pp� �. y, . YIY. ✓. p its '$' y �� '� i,i i' �i anc Ser�1e a�5#►c%oc' ~r.. x __. . BASIC LIFE SUPPORT CARE 1982 SCHEDULE 1984 SCHEDULE BASE RATE 20'-00 EKG, I 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 pm) 20.00 2,9.00 EMERGENCY 20.00 307,00 OXYGEN 7 25.00 20.00 WAITINGTIME(per 15 min.) 14-25 15.00 STAND-BY T14E (per 15 min.) 10 I5 10.75 ADVANCE LIFE SUPPORT CARE ADVANCE LIFE SUPPORT 55.00 55., -00 - TELEMETRY 20.00 20'-00 EKG, 40.00 40.00 HEARTAUNG RESUSCITATOR 40.00 4,0.,00 SUCTION 16.00 omit RESUSCITATOR 16.00 16.00 ORAL AIRWAY 5.00 omit ENDO TRACHEAL INTUBATION 40.00 40.00 ESOPHOGEAL INTUBATION 40.00 omit MED ANTI SHOCK TROUSERS 34.00 34.00 NEEDLE THORACOTOMY 75.00 751.00 NEEDLE CRICOTRACHEOTOMY 75.00 75.00 ORTHOPEDIC, CARE ORTHOPED'IC' STRETCHER 25.00 omit SPINAL BOARD SHORT 16.00 omit S',PlRAt BOARD LONG 16.00 i Omit SAND BAGS (each,) 3.50 owl t LADDER SPLINT, 16 a 00 =4 t TRACTION SPLINTI 16.00 omit CARDBOARD SPLINT 12.00 omit INFLATION SPLINT 12.00 omit OBSTETRIC CARE CH119DEL TV W- 40.00 omit CITY COUNCIL EVELYNSOHNI M ,*)SOLSOCITY OF LODI JOHN R. (R&ndyl SNIDER Mayor Pro Tempore CITY HA' 1.221 WEST PINE STREET ROBERT C. MURPHY POST OFFICE BOX 320 JAMES W. PINKERTOK it. LODI. CALIFORNIA 95241 FRIDM. REID (209) 334-S634 &%rch 15, 1984 7b Wham It May Concern: HENRY A. GLAVES. It. City Mang" ALICE M. REJMCH€ City Clerk RONALD M. STEIN City Attorney This is to advise that on February 22. 1984 the Lodi- City Council received the attached letter advising of a rate modification the Lodi Ambulance Service plans to Inplement for their 1984-85 budget. Please be further advised that Section 2A-3 of the Lodi City Code reads as follows: "Z] a owner of every alrbulance operating in the city shall file, with his application for an. operator's permit, a true and correct schedule. of rates to be charged for the transportation of passengers in all vehicles operated by such owner. Such rates shall not be changed or modified in any -mariner without first filing the changed or modified rates with the city council thirty days prior to the effective date of such change or modification. The city council reserves the right to finally determine or fix, by resolution, the rates to be charged by the operator of the ambulance service (Ord. No. 756, 113) Following receipt of a staff report concerning this matter, Council voted at its March 7, 1984 council meeting not to take any action regard!ng this matter. Please feel free to call this office should you have any questions regarding this matter. Very truly yours, Alice M. Re mane City Clerk AMjj Lodi Ambulance Service m&sY=M ST. C^ M -I I February 21, 1984 Alice Reimche City Clerk City of Lodi 221 West Pine Street Lodi, California 952-10 Dear Mrs. R6imche, This is to notify the City o,k Lodi of a rate modification we plan to implement for our fiscal 1984-1935 budget. X * 2M/3U-CM This adjustment will allow us to cover a -n 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 equipment 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 set -vice we would provide. Any further communication should be directed to MY office. Resm_ctfu Y Y u 'ichael Nil sen President Enclosures 14N: bs Lodi Ambulance Service ins. stoat ToNs, cA -P,24, o 2m/334 -mm 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 claim 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 would be out of pocket expense tAUN a $4.60 increase to the patient. We feel this justifiable as we are eliminating all Orthopedic and Obstetrical service fe -� 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 reimburseent programs which reimburse us for these services in the Basic Ambulance Rates. We have eliminated three Advances Life Support fees; Suctioning, 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 'Zhe 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. MN: bs • `fid �. r .. Lodi... •v:•.,.��.,,- �..-se..:. .:.w`�ra:u.... ,a»s.�.-..! � �•• r: s. • .•t.:.t.s•'_ :v+-sx..,a•�ai►�.:t•: Lodi A ` ! �r�r� � b u' a n ce Service I7M S. St=T0N Si. • ►:0. 500 397 • L W. CA "2 F • W?**. J4-= BASIC LIFE SUPPORT CARE 1982 SCHEDULE 19$4 SCHEDULE BASE RATE 20.00 20-. 00' 1 Patient 95.00 107.00 2 Patients(each) 80.75 96.39 3 Patients (each) 76.60 90.95 MILEAGE (per mile) 5.00 6.00' NIGHT CALL (7 =►m to 7 pm) 20.00 28.00 EMERGE3CY 20.00 30.00 OXYGEN 25.00 204.00 WAITING TI14E (per 15 min.) 14.25 1-5.00 STAND-BY TIME (per 15 min.) 10,75 10.75 ADVANCE LIFE SUPPORT CARE ADVANCE LIFE SUPPORT 55.00 55.00 TELEMETRY 20.00 20-. 00' EKG 40.00 40.00 HEART/LUNG RESUSCITATOR 40.00 40°.00 SUCTION 16.00 omit RESUSCITATOR 16.00 16.00 ORAL AIRWAY 5.00 omit ENDO TRACHEAL INTUBATION 40.00 40-.-00 ESOPHCGEAL INTUBATION 40.00 omit MED ANTI SHOCK TROUSERS 34.00 34.00 NEEDLE TiiORACOTf1*IY 75.00 75-.00 NEEDLE CRICOTRACHEOTOMY 75.00 75-.00 ORTHOPEDIC CARE ORTHOPEDIC STRETCHER 25.00 omit SPINAL BOARD SHORT 16.00 unit SPINAL BOARD LONG 16.00 omit SAND BAGS (each} 3.,50 omit LADDER SPLINT 16.00 omit TRACTION SPLINT 16.00 omit CARDBOARD SPLINT 12.00 omit INFLATION SPLINT 12.00 omit OBSTETRIC CARE , CHILD DELIVERY 40.00 omit t •:... k• � � »+.+t+aorf„ r � y►•v►�rw+►r.. r •, atr. i.�.ww • rs.i .a ... rrtisx iaiwr•+. vw.s+e.•at.w w r +r`.a•aw7iow.�w�.sw C