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HomeMy WebLinkAbout2008-0114 Documents Submitted at Meeting DOCUMENTS SUBMITTED AT THE JANUARY 14, 2008 STUDY SESSION AND SPECIAL MEETING ASHLAND FIRE & RESCUE AMBULANCE SERVICE AREA No.3 2008 AMBULANCE RATE SCHEDULE Ambulance rates are for 2007, Base Rates will be adjusted each year by the most current posted "Consumer Price Index" (CPI). Other rates and mileage charges will be adjusted only by approval of the County Commissioners. Ambulance service rates are increased each year based on the CMS Ambulance Inflation Factor (AFI) for the previous calendar year. BASE RATE (advanced life support) ................................................................ $856.93 The City charges an "All Inclusive" Base Rate. There are no additional supply charges. The Base Rate becomes effective upon the emergency response of the ambulance. This serves as a minimum charge to support the City's fixed expenses. BASE RATE (basic life support)........................................................................ $615.92 Basic Life Support covers non-emergent basic transport services such as scheduled transfers to nursing facilities, assisted living facilities or Home. MI LEAGE ........... ........ .............. ...... ............ ......... ......................... ............ $10.00 per mile Fees for Mileage reflect the distance traveled (to the nearest mile, one mile minimum) from the point of pick up to the patient's ultimate destination (Le., home or accident scene to hospital). CONTINUATION OF SERVICE If the patient is transferred to another facility within one hour, only one Base Rate is charged. BASE RATE (advanced life support) ................................................................ $834.40 MILEAGE. ........ ................................. ....... ............................................. ...$10.00 per mile Mileage is figured from point of pick up to point of destination. (Patient miles only). This rate is applied to "pre-arranged" transfers. When a medic unit transports more than one patient from the same incident or from unrelated incidents, each patient is charged a full base rate. This is in recognition that each patient receives the same care and transportation services as when only one patient is transported. However, an adjustment will be made for mileage charges. In instances where more than one patient is transported in the same medic unit, the normal mileage charge will be split among the number of patients transported, i.e. if two patients are transported, they will each be charged a full base rate but will only be charged 50% of the normal mileage charge; three patients would be charged 33-1/3% of the normal mileage charge, etc. Patients who, because of multiple patient situations or whose condition did not require movement by stretcher, are transported sitting up in a regular seat in the medic unit will be charged 50% of the regular Base Rate. If other patients are being transported in the same medic unit, sit-up patients will be charged mileage as a Multiple Patient as described above. BASE RATE (advanced life support) ................................................................ $417.20 (50% of the regular Base Rate) MILEAGE........... ........ ............ ........................................ ......................... .$10.00 per mile (100% of the Regular Mileage, Unless Multiple Patient Situation Applies) When a patient's condition warrants that an extra emergency medical technician assist the medic unit crew during transport, a fee for the extra attendant will be charged. Situations and conditions where an extra attendant charge is applicable include: an acute/critical patient, a disturbed/combative patient, or an extremely obese patient (300 pounds or more). In each case, diagnosis or documentation must indicate medical necessity. EXTRA A TTE N DANT .. ........................................... ............................................... $45.00 The Aid Call rate may be used whenever services are rendered, especially when an advanced life support procedure or supply was administered, but the patient was not transported. This charge may also be used for expired patients under the following conditions: 1. Calls where death is not certain and assessment and/or care are necessary to determine death, will be handled as an "aid calL" Cases of obvious death, i.e., rigor mortis, decapitation, etc., where NO evaluation or treatment is performed, will be handled as "no patients." 2. Use of the monitor/defibrillator, solely for the purpose of confirming death, rather than for active patient care, will not constitute a charge, however, if the monitor/defibrillator is used for resuscitation, appropriate charges will be made. Service Fee (advanced life support) ................................................................. $250.00 If the waiting time is extraordinarily long and constitutes an unusual circumstance, waiting time may be charged. Unusual circumstances would occur when there are medical complications requiring additional time, effort or expense. The reason for the waiting time must be documented. Waiting time is billed in thirty minute increments. The first thirty minutes are not billed, they are included in the base rate. WAITING TI ME ........................................ .......... .......... ................... $25.00 per half-hour All pre-arranged paid stand bys are billed at an hourly rate. There is no Base Rate or Mileage charge to the person/organization requesting the stand by. If a patient is treated and transported from the stand by event, the patient will be billed normal rates. Stand by time is charged from the time personnel first arrive at the station to prepare for the stand by, until they have arrived back at the station and have completed all duties related to the standby. A standby crew consists of two crew members with a dedicated paramedic unit. In the event of an emergency, the standby may be canceled or the paramedic unit may be recalled from the standby event without notice. STANDBY ............................................................................................. $1 00.00 per hour (2 hour minimum charge) Patients treated and/or transported from a standby event will be charged in accordance with normal rates for services provided. On-Scene Coordinator .......................................................................... $50.00 per hou r (50% of the Stand by Rate) If an event requires two or more medic units, an on-scene coordinator may be required. 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C: 'fii ,!!! 0 Ql Cl c: 0 ~es t5 c Ql 'C Ql .. t5 ~ 0 U; I/) Cl c <( E C1l is Ql :; 0 CIl CIl ~ c is is .0 C1l E u:: :; ~ ~ <( 'C .0 u:: u:: Ql ~ E ,.. ,.. c <( C1l ~ ~ ..J 9 E (i'j (i'j c C :J > > $ .8 .0 U; U; CIl 'C CIl 0 ~ Ql Ql C ~ ~ ~ ~ City Albany Bend Corvallis Dallas Current Last time fee changed 50.002 years ago 50.006 months ago 45.009 years a 0 50.00 or 60.00 52.00 This year Comments Actually went down from original fee of $50.00 $50.00 in town; $60.00 out of district Harriman (now Rocky Point) Keizer Keno Klamath County FD #1 Lebanon Marion County FD #1 McMinnville Mercy Flights Newber North Dou Oakrid e Redmond Rogue River Salem South Lane Count Sprin field Sutherlin Winston-Dillard Others: Drain Lane Rural Rosebur $1 OO/yr $150/2yrs $1,000 life 50.00 Jul , 2006 50.00 was 49.00; just raised one dollar 45.00 50.00 50.00 or 70.00 50.00 45.00 75.00 50.00 3 rs (was 45.00) 40.00 50.00 50.00 52.00 Last ear 52.00 Ma 1,2007 45.00 80.00 52.00 52.00 Changed name a few months ago to Rocky Point Fire & EMS Believes they char e the same as Klamath Have a payment plan, $20 X 3 payments (60.00) and have a 2 ear plan for 90.00 Per their website; also have their application form on their website (which I've had inquiries about and think it would be a ood idea) Keizer, Marion County and Salem all managed b Capital FireMed 50.00 in city limits; 70.00 out 50.00 for a family; 40.00 for a single; 40.00 for a senior (62) famil ; 35.00 for a sin Ie senior went to their board in July to raise fee, but the board said no thinking about raising rates next year to 50.00 or 52.00, but need board approval )> 3 0- C - Q) ::J C1 CD en CD < -. 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