22 - Ordinance Amending Ambulance RatesA
TO: Mayor & City Council
John Godwin, City Manager
FROM: Kent Klinkerrnan, EMS Director
Item No. 22
SUBJECT: CHARGES FOR PATIENT CARE / TRANSPORTATION BY AMBULANCE
DATE: January 10, 2018
BACKGROUND: Historically, supplies used for medical care while transporting a patient to the
hospital have been billed to insurance companies as individual line items. Federal and State
insurance programs ( Medicare, Medicaid, CHIPS, Railroad, VA, etc) and most private insurance
plans no longer allow or reimburse fior those supplies as individual line items. In order to capture
those expenses, the base rates need to increase for billing purposes. Only then can those
expenses have a chance to be offset.
STATI)S OF ISSUE: Base rates need to be increased in order for all expenses of patient care to
be bundled as a better reflection of the true cost of providing patient care in the EMS
Department. Mileage rates need to be increased due to the higher cost per mile of operating the
EMS fleet.
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BUDGET: No cost. Trying to maintain or slightly improve collection amounts per call.
RE'COMMENDATION: Approval of recorrinlended changes to the City of Paris Code of
Ordinances Chapter 2/Article 1V/Sec. 2-98 - Ambulance Service Rates.
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Section 1. That Section 2-98 of the Code of Ordinances of the City of Paris be, and
the same is hereby, amended so that such shall read as follows:
"Sec. 2-98 Ambulance Service Rates."'
"(a) The following rates are established for emergency medical vehicle
service for residents and non-residents of Lamar, County:
(1) Specialty Care Transport (SCT)
$650.00 plus $12.00 per mile from point of pickup to, point of delivery
Mobile intensive care unit (MICU)
(2) emergency.....
$600.00 plus $12.00 per mile from point of pickup to point of delivery,
1
Advanced life support (ALS)
(3) emergency $'550,0'0plus $12.00 per mile from point of pickup to point of delivery,
....
Advanced life support (ALS)
(4) non-emergency$450.00 plus $12,00 per mile from point of pickup to point of delivery.
.....
Basic life support (BLS) emergency
(5)
Non -emergency transfer service
(6)
Non -emergency transfer service
(7) return trip .....
(8) Standby.....
$400.00 plus $12.00 per mile from point of pickup to point of delivery.
$240.00 plus $12.00 per mile from point of pickup to point of delivery.
$235.00 plus $12.00 per mile from p6int of pickup to point of delivery.
$350,00 for the first hour and $75.00 for each additional hour on an
as -available, first -request, first-served basis.
"(b) In addition to the established rates, a usual, reasonable, and customary
charge for medical supplies and service used or required in connection with
emergency and non -emergency transfer service may be made,"'
Section 2. That all provisions of the ordinances of the City of Paris, Texas in
conflict with the provisions of this ordinance are hereby repealed, and all other provisions
of the ordinances of the City of Paris not in conflict with the provisions of this ordinance
shall remain in full force and effect,
Section 3. That the repeal of any ordinance or part of ordinances affected by the
enactment of this ordinance shall not be construed as abandoning any action now pending
under or by virtue of such ordinance or as discontinuing, abating, modifying, or altering
any penalty accruing or to accrue,, or as affecting any rights of the, municipality under any
section or provisions of any ordinance at the time of passage of this ordinance.
Section 4. That it is the intention of the City Council of the City of Paris that this
ordinance, and every provision hereof, shall be considered severable, and the invalidity or
partial invalidity of any section, clause, or provisions of this ordinance shall not affect the
validity of any other portion of this ordinance.
Section S. That this ordinance shall become effective from and after its date of
passage.
PASSED AND APPROVED this 22nd day of January, 2018
Steven J. Clifford, M.D., Mayor,
FAW&W
Janice Ellis, City Clerk
Stephanie H. Harris, City Attorney