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HomeMy WebLinkAboutAgenda Report - December 15, 1982 (24)t November 30, 1982 City Council City Nall Lodi, California 95240 Council Persons: Enclosed is a copy of the Medicare guidelines to bill for Advanced Life Support. Read the information as I will answer any question to the billing modifica- tion we will adapt for Medicare patients. My recommendation is to incorporate the average Advanced Life Support billing procedure We will cornbine the Base Rate, Emergency, Advanced Life Support, EKG, and Telemetry. The total would be $230.00 for the Advanced Life Support Care. Currently the stan- dard fee is $230.00 if those fees listed are t We averAge 56.3 Advanced Life Suppor'c calls per month. Of the remaining Advanced Life Support charges that we use on a limited basis the total is $325.00. These charges could be included in the total accumula- tive bill of a severely traumatized patient, but maybe 1% of all total patients would need that type of care to be charged $325.00 more or $555.00 Advanced'Life Support chargev6uv (1) a My proposal for the fee is to charge the $255.00 Medicare will allow for Advanced Life Support thus a reimbursement level of 80% = $204.00 and the balance owing would be $51.00 for Advanced Life Support to Medicare patients. Currently the Medicare patient pays our of pocket cost for Advanced Life Support $85.00 therefore a savings of $34.00 to the Medicare patient eiists. This billing practice would only apply for Medi- care and Medicare/Medi-Cal patients until further study could.be done to see if all inclusive charging is acceptable to the community. 1339.50 14 Medicares .28% 1332.50 13 Medicare/Medi-Cals .26% .00 3 Medl-Cal .06% 20 Privates .40% 50 Evidence shows the following cost is justifiable. Fifty random claims selected from the last Diree months averaged out to $228.49 total Advanced Life Support charges. ted claims 40% wwT'e-pt-i a 06% Me—d Medicare, and 1 =usiness whicis about .28% er a of our currentn 1`est�s of reimbursement levels. (2) �► Lodi Amilhiance P. O. BOX 587 1709 SOUTH STOCKTON STREET ��. LOOI, CALIFORNIA 98241 (209) 334-0&10 NIel-DAs LaN Medical hadueta December 6, 1982 City Council City Nall 221 West Pine Street Lodi, California 95240 Council Members; Enclosed is a copy of the Medicare guidelines to bill properly for Advanced Life Support. Please read the information so 1 may answer any of your questions. My proposal is to incorporate all private and Medicare billings for Advanced Life Support as a basic format billing procedure. By combining the Ambulance Base Rate, Emergency, and an average basis of now charged Advanced Life Support fees, which average out to $230.00 per Advanced Life Support call and if the Telemetry charge of $20.00 would be incorporated we could justify the $255.00 Medicare will allow as the customary and usual charge. T)e reimbursement rate of 80% would be $204.00. A study of fifty randomly selected Advanced Life Support calls shows that 54% of the Advanced Life Support users are of Medicare age thus having Medicare insurance. Medicare has not reimbursed us or the patient for Advanced Life Support in the past and now with the advent of a profile reimbursement rate the average cost out of pocket to the user wsl; be $51.00 maximum instead .of the current i 1' DEP, 0 6 OZ �► Nodi Ambiance P. O. SOX 587 9709 SOUTH STOCKTON STREET .iarZ LOOT, CALIFORNIA 95241 (2092 334-0830 RlEN-CAS L�01 Ya/iCsl hats $85.00. Therefore, a savings of $34.00 will exist for the user. Since the Advanced Life Support will be reimbursed for the Medi-Cal/Medicare patient we can generate an increase in revenue. The 13 claims we used that were Medi-Cal/Medicare could generate $1332.50 in increased revenue. E T.�e study shows: 14 Medicare Claims .28% 13 Medi-Cal/Medicare Claims .26% 3 Medi -Cal Claims .06% 20 Private Claims .40% 50 Total Claims 100% The percentages are about the average patient distribu- tion for the company on a yearly basis. With the approximate number 675 Advanced Life Support calls per year we relieve we can generate $16,000.00 more per year that has been just a write off in the past. Enclosed are the new billing modifications for the Medi- care, Private, and Medi -Cal users. Please note that tie used the same type of trauma call on all three billings. We will have to continue to bill Medi -Cal on an itemized basis as they have not consented to the new billing pro- cedure and our Ambulance Association feels that Medi -Cal will not at the current time modify their billing procedures. (2) TM MEI e" MMl�al Pro l d U01 Am1blence P. O. BOX 597 1709 SOUTH STOCKTON STREET LOOI. CALIFORNIA 95241 (209) 334-08.90 ON We will monitor this billing practice very closely as we are not sure of the exact financial impact on the company. We will brief the council from time to time on the billing practices and financial situation of this billing modification. Respectfully, Michael Nilssen President Enclosures MN: bs (3) O STE 11 "1 17VU I U4 AAAA 1. CLAIMCONTWX NUMBER F0. UA b4CT +^ 1. MU*-CALMM- 4O. PROFESSIONAL/SUPPLIER ;X MED( -CAL PROV10EM NAME A,''p }OGRESS T • I CLAIM FORM 1,! -.di A;;➢Cu_ance Service 4 s''MEDICARE 1. MEWCAM ORGY, NO, i----------- - - — ----- --I - ---- ---I 1709 So. Stockt n St. AFFIX LABEL HERE ( AFFIX LABEL HERE 1 s. =1I COW Lodi , [((YJ��tt�+�� 1-- --_ EG � q524-0-1 1'.19P". /►••ONENC I PLEASE 1'1" Al[ RE01,PRED'N[ORMATION Eltl♦ Pq;♦ MifiNT'a COMSLiTj AND MCo1CAft NVMHR [A7 pAT'II CV ONSET TAN COWAM NtulEM ..a 120 2 PATI ie 123 Main Street =0006'6z0"1-j0"00000L'M ►ITI A FAfiA "000000 11111 Anytown USA 00000 �_ E.». 0"." env" A"*C 9 t%t N( 1 b tt ': [ i� l S\I- i+.•t N. N111 �_ _--- L� A1'�AtY A ¢y�t0 NAA// A AOORi46 Of FACri,TTR' M EmigE1 ClTa4- O tp Ott1EA NOMI Or.r4"p Y. 1 Akdl D3E PSX±Ct- ot,IV i _--- i,V V1Pp1Utp1: NAW AMO Endo trach (1 intubation I —. .. ca4Ts . DA It CO " Kf1-- D1 ";1 0 62 "[]2 p 1206 2 10 asO r. M L4 ro h j� .. n r_-_..._ �•b.—•-.+may .ALJ of tj AEMARItb EMERGENCr CEA!IF tGATtON ST ATlMEN1 t� From: Main St. and S.P. Tracks Tc: General Hospital P Called by: Police Dept.' Receiving Physician: Dr. Jones Diagnosis: Auto vs. train. Severe head trauma q' PATN•R'P OA AUVNO1,.MO P"POM• MOMAr M! (MAO PACK 11IP►OT•01 •Wt•,NO) �' •n.• ,• ,•.4 •va .n• <0.•0•.4 .nc .n•t tn. V•nww• ' Nfb•W •n. t•NN d Ms M -101I. >b•m•I.y 'w[ MM.. r0 V•tK [w•,n., t.. ... •M'Wa.s.r MC` .i^ n� .y n•�y;V N n.n. • n. .w •.1•wD 1 ..t 1M •t•Itw•w!• va Co••[1•nuM f'uMFM[i t•y.wr••. (.• AIM•[•. P.•v•e IhM• W r,..• � . tN Wr1. ..•p st [.OM1 .•.'Vn.n. . ( .N H.[. .� ..n + n 12 06 82 �J•TF-._-.—...__..�� _�.... _._ �.V....•.'. .: .. . t,...,,. . I«I n. Nl++t.• t� Mn.t purW.' W N .. .•YMt w. ro .bl.••..nf. Ino FORWARD TO .APPROPRIATE F.I. �p t •CCt P, :►44N4�N1 { m ,: C ' OO .�1 CCtr. J A•�C.NYf N1 IMPORTANT MEDT-CAL PAYMENTS e services listed on this form have been personally provided to the patient by the, provider or, tinder his direction:'` by another person eligible under the Medi-Cat Program► to provide _9och services, and such person(s) are designated on this form. The services were, to Ihe best of the provider's knowledge, medically indicated and necessary to the health of the patient. The provider understands that payment of. this claim w0l be from Federal and/or State funds, and that any falsification, or concealment of a material fact, may be prosecuted under Federal and./or State laws. The provi,4ei agrees to keep for a minimum period of three years from the date of service -11 records which are necessary to disclose filly the extent of see-v- ices furnished to the patient. The provider agrees to furnish these records and any information regarding payments claimed for providing the services, on request, to Cr.Iifornia Department of Health Services; Medi-Cal Fraud Unit, California Depart- ment of Justice; Medi-Cal Audits Project, Office of State Controller, U.S. Depart- ment of Health, Education and Welfare, or their duly authorized representatives. Medical care services are offered and f_:ovided without discrimination based on race, religion, color, national or ethnic origin, sex, age, or physical or mental disability. MEDICARE PA'r'i'4'IENTS A paUerit s s►gra:ure rcftlests that payment be made and authorizes release of medical information nfjcessary to p.ay the claim. If the "Other Flealth Insurance Coverage" block is completed, the patient's signature authorizes release of the information to the insurer or agency shown. in assigned cases, the physician agrees to accept the charger determination of the Medicare carrier as the full charge, and the patient is responsible only for the deductible, coinsurance, and noncovere.d services. Coinsurance and the deductible are based upon the charge determination of the carrier, if this is less than the charge submitted. SIGNATURE OF PHYSICIAN (OR SUPPLIER): 1 certify that the services shown on this form were medically indicated and necessary for tl�e health of the patient and were personally rendered by me or were rendered incident to my proiessionai service by my employee under immediate personal supervision, except as otherwize expressly permitted by Medicare regulations. For services to be considered as 'Incident to', a physician's professional service, 1) they must be rendered under the physician's lmn:edr.Ste personal supervision by his employee, 2) there was a covere.:f physician's service rendered of _which the other services are an integra , although !'nciduntai part, -3) they must be of'kinds commonly furnished in physicians' offices, and d) the services of nonphysicians must be included on the physicians' bill. NOTICE: Anyone who misrepresents or fi0sifies essential information to receive payment from federal funds recti--sted by this form may upon conviction be subject to fine and imprisonment under applicable federal laws. �) i o�B�" E i �i /'•COVICER NAME AMC ADDRISS Lodi !'.:nbu ante Service 1709 So. Stockton St. Lodi - II MOW" 00OKEj NAME. AND AOORM Doe, Jane 123 Main Street Anytown, USA 00000 • I h a •`•ww.t .,. uA1 I. --I I f I f� 1. CLAIM CONNOI RLOARN.f� UM y t *OVNo. PROF ESSIONAVSLI PPL IER - .)tMEDI-CAL CLAIM FORM MEDICARE I AFFIX LABEL HERE AFFIX LABEL MERE PEASE TVDE A!I REQUIRED IN#ORII•AT'ON Em. P" �� 'y(Yw• ler Al,V—,— rT�� IREOICARE NUMUR - 1M OATI Of 0411117 TAR COWM . MAiRM IA?Mt A T "IMIDER " 00�0000Tl0g0�0000000f0 " 000000 w•v cRl�•••..• - JiY•w O/M• lCl�0. •ttAQa OY( J'MaGYf IIWT is S* OF FACILITY TYNERE It RENDERED IM OTH" ThAh Fnm 9111 Ict) >t -f ITy i •- Uli lA TOR! NAME - ' (t'M'�K OF RI1lwRM0 �DE11 POVIAN"QIA(INO513 6[ VTION GD ►an iEC NDART OrACtEW1U6 oL�P►T!ON '4. ,.--; If•• ^� ACI 1►: !l�FYMp 111tH ••O ••OCIpIIH .. 110N !_�_ :•-•>.:+.,..•• f ew,tnr nAtlws!•vece �twrir n1l. ro+1.•r,awaA•��+. ccw �c+� �� Base rate "�1120682 "y` "[j 000 Mileage r ---� .Fo2 1206 2, !11 q !. *• +c ; , Ei-e g -__..--._.-_y_ _ ,.�jJ " 1cJ6 2. ©. !7D q� " 006 Emer ency i -i. J1 1�. Ygen..-- [121 0682 -AL vanced 11 f »[}S ~x,1206: 2 P _ roof Teleme`.r Y -- ---- „ 120 82 p, - . —_ g ` Emergency Med Anti-Sho k T.�o.�.�►.� yN�ux� d � �'`�� s REMARw'.-E1.IEROENCr ..ER'IFICAtION STATEME'•'• `, L T> ,.i, j,�rn$ �;}.k _Y From: Main St. and S . Tracks x' To: General '.hospital Ca11ed by . Police Dept. ► ,•. ,R r r tteceiving Physician: Dr. Jones t Diagnosis: Auto vs, train. Severe head trauma • r+. ". �I 2b 618 12�0k 8 2 LOraA iVAE A C;^tC _E FOR EWPUNC• CERTn1CA?KX% VarVIO • OR Aul"O •.MD P1040" NGRAtUR! IV*A0 FAC• 621pR! !46"1••0( •tip r. n ,nY••re • ., re ro.nprn •ro In•1 IM prp•fe•. `frrM -,-H ••MN M My YAe.s i•1 In b....f vn kr.•e . w D•rn'.•1 M•• �rrT M) rw)..r{r w•e).n?•..Iwh •n.nfr)'wYr.. M An.nt tr. ✓w •Ir^4•r r•fn r .c •1•Mrnn •M tMlnn.n• cnm•rn41 Dr '. to ••.e1(••. �hnti FI••. W ^• < Inr IM••f r a •ctWh •••pnr•..nr ti .ra.. t� rn . ...... 12 06 82 ----" ,r----�-- �M --�.. ., .r �--„ I..n f w.o..o.. fn •.ww w^.1,w fDfD Yr.+n.nf• vW FORWARD TO APPROPRIATE F.I. 1•p { r UU AC , 1 .V&- Y [hi 1 m '401l • DO pi ACFIII `7 C_. Al,Yr(LMaIhT FA RE OQ not IMSU ............. ' ItO W AAFA r 1, tM CONTR Ii NUMBER F t 118E ON' Y 1703 So. Stocktt::: St. Lodi, GA, E �:!• vc• C r -- ►ATtEP" COWLiTE NA , AM ;W omith, John 1 First St. PROFFSSIONAL/SUPPLIER `!.w MEDT -CAL 4",Z49754Z CLAIM FORM . x MED,CARE 1 MEWC 14 MOV. 140 � I �Z4COOt —" AFFIX LABEL HERE AFFIX LABEL HERE ( - 95240. I r'� E ASE •.vE A„ REL), Rt r :N+(�NMa'iOh f�--�m-7•-� v,er•-� • • • • r • �, • a • i MUPCARF %Vkf A W � , DATX OF ON"Y Y AF GOMTMOL 46"e 1 ' Q( M�QOOGOA ~� at 2 "112b6 2 l 1 A TM •ATt1MT A Kwok R la N O OO �• 222?2 . OI�CEiK�OTj$T>S'1�Tffi� • n Anytown, USA 00000 I r ,wowl �..�, tfaAC •Irl„A+ U n .-�7►: � _—� '_J .'_"� Al ,., - - �11i W rACnlr: YrniA�IM�O WfM RWIgfMO W OTfd1) T1MN r+QMf CM W'►hCQ //1�11iri N� �MA{� NAME. AMPy04+CT HIJM[K11X\�t" M""'- toO rZ.V "momcu 11"- I.AM LAWRATOItr IJ �. NAMt 0• uestrw+No ►#bYlOf11 MC+iLWtM1WMt vR+MMY D'.AON08t8 DElICRiPi'LNi !r4�C•+ 1l60NWR'r W„�r''4n _ .. �.iC.�RtyT�ON � [r`.•f.t•r••It •1+C/ 4+ OC4LN !:I:it pe Nv`Ci kML4 "' t "1 0 8 L_�� !• d:I ••ygN•1{f NqP prwtwlw/wMVMowKif - atu:Anw WM MOt: - - '�iNl'iT/TT. 1tRrlfl4AlA9Mi :'Advanced lif6 � 'support base _rate :• Mileage '_ ---- �1Z ` 120 . ��_ "� w �l ~:1000 L� Oxygen a`13 tkL_20 8 '+r� "❑ '°� "x0007 _ --� - - [] cul. �L�--� �❑ �L-� ���---� Sf ��----�-1-, �'w _--- $Alf UAAw& ErtERGE wC< -in .vzC v;aN STATEMENT From: "Main St. and S.P. Tra To: General Hospital Called by: Police Dept. Receiving Physician: Dr. J Diagnosis: Auto vs. train. trauma FORWARD TO APPROPRIME F.I. M BLUE SHIELD urn ia l�hOilt.,. air. • 1.15 9000 x Mad Address MEDICARE P 0 B,. 1968 Sar. > r,:r::,sc. CA 9412C November 24, 1982 Lodi Ambulance Service, Inc. P. O. Box 597 Lodi, California 9524:. Attention: Owner/Manager Re: ALS Ambulance Transportation New Provider Number ZZZ 8961.7. Z The attached special bulletin explains the conditions of Medicare coverage and biding guidelines for Advanced Life Support (ALS) ambulance transportation. (This bulletin supersedes the information on ALS transportation published_ in Medicare Bulletin 82-3, September 1982.) Eac;3 qualified supplier has been isiued a unique Provider Identification Number that must be used to bill for all Medicare services. Your nuz:Jber is identified above. This number must be used on both basic and ALS ambulance transportation claims submitted to Blue Shic-ld for Medicare services provided on or after November 1, 1982. The new provider identification number should also be included on billings provided to your patients, if you do not accept Medicare assignment. This step will help to ensure proper payment to the Medicare beneficiary. A supply of Medicare claim forms preimprinted with your neer number will be issued to you shortly. Until you receive thew, please print or type the new provider number given above on any claim form submitted to Blue Shield of California. Sincerely, Jnyca 86:.-rera Program Policy Analyst. medicare Liaison inidr Attachment CALIF ORNIA PHYSIC! ANS' SERVICE E I] BLUE SHIELD MEDICARE of California Phone t41:i1 445 9000 Mail Addrau. MEDICARE, P 0. Box 7969 S&P Fr.oncrsco. CA 94120 NOTICE TO ADVANCED LIFE SUPPORT AMBULANCE TRANSPORTATION SUPPLIERS IN BLUE SHIELD OF CALIFORNIA'S MEDICARE JURISDICTIONAL AREA November 19e2 Until now, Medicare carriers have been aliowe3 to recognize only one level of ambulance service, i.e., basic ambulance tranz►portation. In accordance with recent Health- Care Financing Administration directives, effective with services provided on or after November 1, 1982, Blue Shield will also recognize all-inclusive charges for Advanced Life Support (ALS) ambulance tran portat on when -provided by qualified ALS suppliers. Coverage for ambulance transportation, whether basic or ALS, is limited to medically necessary transportation to a hospital or A skilled nursing facility when transportation by any other means could endanger the patient's health. when a patient is taken to a facility other than the nearest one that can provide appropriate care, reasonable charge will be based on transpor- tation to the nearest facility. Definitionss A. Basic Ambulance-' A basic ambulance is one that provides transportation plus the equipment and staff needed for such basic services as control of bleeding, splinting fractures, treatment for s*.oc>^k, delivery of babies, cardio -pulmonary resuscitation (CPR) , etc. B. Advanced Life Support (ALS) Ambulance An ALS ambulance has complet specialized life sustaining equipment and, ordinarily, equipment for radio -telephone contact with a physician or hospital. Typical of this type of ambulwice world be mobile coronary care units and other ambulance vehicles that are appropriately equipped and staffed by personnel trained and authorized to administer IVs (intravenous therapy? , provide anti - shock trousers, establish and maintain a patient's C.A L I E O R N I A PHYSICIANS' SERVICE C O airway, defibrillate the heart, relieve pneumothorax conditions and perform other advanced life support procedures or services such as cardiac (EKG) moni- toring. In addition to the regular Medicare vehicle and crew require- ments, ALS ambulance suppliers must also furnish Blue Shield with copies of the applicable county certification that the ambulance supplier has trained and qualified personnel, Provider :dumber: The special unique provider issued to qualified ALS ambulance suppliers must be used for billing ALS and basic ambulance transportation services. Billing Instructior..s: Advanced Life Support Transports Blue Shield will recognize an all-inclusive base rate charge for ALS transportation. Use procedure code 09336 for this service. (The charge billed under this procedure code should include costs of ALS transport, EKG monitoring, telemetry, emergency and other medically necessary services provided by the vehicle crew.) Separate charges for these additional services will be denied when billed ift addition to the all- inclusive ALS base rate charge. Separate charges can be Zicognized for the following services: Code Service 00003 Mileaqe (indicate number of miles and charge per mile) 00007 Oxygen 00005 Night calls 00010 Disposable supplies/other medically necessary and covered Part B ambulance services.• (Itemization must be included) The claim must also state the nature of the illness or injury which required the ALS ambulance instead of the basic ambulance, as well as the point of pick-up, and destination of the transport. NOTE: If the claim does not contain sufficient justification or use of the ALS the claim v•1-11 be Processed ani' allowed as a basic ambulance transport. _ Basic Ambulance Transports Outlined below is a list of procedure codes under which basic ambulance transports should be billed: Procedure Code Description 00001 Base rate (point of pick-up to destination, usually a hospital, SNF, or patient's home) 00002 Base rate - round trip or econd trip, same day. 00003 Mileage (per mile) 00004 Mileage (per -'mile) - Round trip, or second trip, same day. 00005 Night charge 00006 Emergency 00007 Oxygen 00009 Waiting time per 15 minutes. (Complete justification of medical necessity must be provided.) OOO10 Unlisted covered services and supplies such as disposabl6 linens. (Itemization must .accompany charges.) 09930 Base rate - transportation from hospital to hospital (hospital admission to second hospital). 09333 Base rate - transportation from hospital to hospital for specialized services such as CAT scans or cobalt therapy 09334 Base rate - return trip (specialized services such as CAT scans or cobalt therapy) 93005 EKG monitoring (when ALZ transport not required, but EKG performed) 09335 Telemetry (when ALS tranvport not. required, but telemetry performed) The medical necessity, point of pick up, and destination facility must always be shown on the claim form. Please note, this bulletin supersedes the information on Advanced Life Support Transportation which was published in Medicare Bulletin #82-3, September, 1982. BLUE SHIELD Ob 9 of A.. . 1. 1 � .. '' .% N ItIft; '' .... .;. .. z z zR96 a; �z is the Blue Shield of Coitfornia Identification Number assigned to the Name and Locations) below. To expedite processing of your clairns. it is imperative that y,**u show your Identification Numbar on all claims submitted to the Blue Shield of California Programs for which you are eligible - • - MWICARE CAtE: 08/2x/82 PROVIDER CLAIM IDENTIFICATION YOUR PHYSKAL LOCATION 039 Ort N LO ZZZ89617Z 49 .LUUI AMBULANCE SERVICE INC 1001 AMOULANCE SERVICE INC P U BUX 597 1709 SOUTH STOCKTON S REE1 1.0019 CA 95241 LUDI• CA 95240 c es trl/r1 NOTE: BLUE SHIELD OF CALIFORNIA RETAINS THE RIGHT TO REVIEW AND RECERtifY PROVIDERS TO ASSURE COMPUANCE WITH PROGRAM REGULATIONS (SEE INSTRUCTIONS ON REVERSE; y OLmu i Anl lance P. O. BOX 597 1709 SOUTH STOCKTON STREET I -ODI, CALIFORNIA 95241 (209) 334-OSM December 15, 1982 City Council City Nall 221 Y2st Pine Street Lodi, California 95240 RE: RATE BILLING MODIFICATION UPDATE This is an update to advise the council of our original request to modify our Advanced Life Support hi:ling procedures. We initially requested an all inclusive rate of $255.00 Advanced Life Support Base Rate when any paramedical intervention was provided. We are not going to provide an all inclusive flat fee. We will continue to provide the same billing requirements on an individual basis although we are going to bill Medicare patients claims and statements the total amount of Advanced Life Support as an all inclusive base rate. Although, currently Medicare allows for telemetry to be billed and reimbursed, we at Lodi Ambulance do not. We are requesting that telemetry be a billed service by the company at the rate of $20.00. The telemetry is used only when an EKG is transmitted to a physician for medical consultation. We feel that this is a justifi:.bie charge and necessary to help defer the cost of the paramedics radio, cables, and batteries. f1) Lodi Anfluianee P. 0. BOX 597 1709 SOUTH STOCKTON STREET LODI. CALIFORNIA 95241 (209) 334.0830 0 Billing modification. per Health Care Financial Admini- stration directive November 1982. Example billing procedures: Mr. Jones uses the ambulance and he needs the Advanced Life Support. His bill is normally itemized as follows: CURRENT PROCEDURE BASE RATE MILEAGE (1) EMERGENCY OXYGEN ALS EKG SUCTION RESUSCITATOR E.T. TUBE $95.00 5.00 20.00 25.00 55.00 40.00 16.00 16.00 40.00 $312.00 NEW H.I.C.F.A. PROCEDURE ALS BASE RATE $282.00 MILEAGE (1) 5.00 OXYGEN 25.00 $312.00 The new HICFA billing procedure is called an all inclusive billing procedure and must be used to be reimbursed by Medicare. Re ect lly, M,ke Nilssen MN:bs (2) RESOLUTION NO. 82-143 RESOLUTI03 AUTHORIZING THE LODI AMBULANCE SERVICE TO CHARGE A FEE OF TWENTY DOLLARS FOR THE USE OF TELEMETRY WHEN IT IS ORDERED BY A PHYSICIAN RESOLVED, that the City Council of the City of Lodi does hereby authorize the Lodi Ambulance Service to charge a fee of Twenty Dollars for the use of Telemetry when it is ordered by a Physician. Dated: December 15, 1982 1 hereby certify that Resolution No. 82-143 was passed and adopted by the City Councill of the City of Lodi in a regular meeting held December 15, 1982 by the following vote: Ayes.: Council Members - Pinkerton, Olson, Snider, Murphy, and Reid (Mayor) Noes: Council Members - None Absent: Council Members - None Alice M. Reimche City Clerk 82-143 CITY COUNCIL FRED M RI ID, Mayor CITY O F L, O D I ROBI RT G MURPHY. Mayor Pro Iempore CITY HAIL. 271 WEST PINE STREET EVEIYN M OI.SON POST OFFICE BOX 320 JAMES W PINKIRION. It LODI. CALIFORNiA 95241 JOHN R IRandvi SNIDER (209) 334-5634 December 21, 1982 HENRY A CLAVES. It City Manager ALICE M REIMCHE City Clerk RONALD M $71 IN City Attorney Mr. Mike Nilssen Lodi Ambulance Service P. 0. Box 597 1709 South Stockton Street Lodi, CA 95240 Dear Mr. Nilssen: Enclosed herewith is a certified copy of Resolution No. 82-143 - "A Resolution Authorizing the Lodi Ambulance Service to Charge a Fee of Twenty Dollars for the Use of Telemetry when it is Ordered by a Physician", which resolution was qdopted by the Lodi City Council at its regular Apeeting of December 15, 1982. Should you have any questions regarding this action, please do not hesitate to call. Very truly yours, Alice M. Reimche City Clerk AMR:jj Erc.