EMS Fee Schedule Offsetting Revenue Presentation Fiscal Year - - PDF document

9/22/2017 1

EMS Fee Schedule

Offsetting Revenue Presentation Fiscal Year 2017-2018

Proposed EMS Fee Schedule Adjustment

• Proposed fee schedule changes
• Increase fee schedule to match Coppell’s
• Zero-balance bill Addison residents
• Addison has a highly insured non-resident

transport percentage

• Zero-Balance billing residents would eliminate
• ut of pocket deductibles and co-pays for

ambulance transports for Addison residents

• Resident’s private insurance would still pay an

increased EMS transport fee.

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Proposed EMS Fee Schedule Adjustment

• Addison is unique…
• 63% of transports are non-residents
• 37% of transports are residents
• 37% of payer mix is private insurance
• 34.8% of payer mix is private pay
• Addison has a very high non-resident to

resident transport ratio

• Addison has a high private insurance

payer mix and very high private pay rate

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Proposed EMS Fee Schedule Adjustment

• Comparator Cities Resident vs.

Non-Resident Transport Percentage

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Proposed EMS Fee Schedule Adjustment

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Resident Non- Resident

• Adv. Life Support

(ALS) $850.00* $950.00

• Adv. Life Support 2

(ALS-2) $950.00* $1050.00 Basic Life Support (BLS) $750.00* $850.00 ALS Disp. Supplies $400.00* $400.00 BLS Disp. Supplies $200.00* $200.00 Oxygen $150.00* $150.00 Mileage $15.00* $15.00 Resident Non- Resident

• Adv. Life Support

(ALS) $450.00 $550.00

• Adv. Life Support 2

(ALS-2) $575.00 $675.00 Basic Life Support (BLS) $400.00 $500.00 ALS Disp. Supplies BLS Disp. Supplies Oxygen Mileage $10.00 $10.00

*Zero Balance Billing for Residents

• No Deductibles or Co-Pays Related to EMS Transport

Proposed EMS Fee Schedule Adjustment

Actual FY 2016

Current Fee Schedule

Estimated FY 2016

Proposed Fee Schedule

Estimated Difference In FY 2016 Revenues Gross Charges

$1,128,109.00 $1,376,294.09 $248,185.09

Cash Collected

$482,378.82 $597,288.00 $114,909.18

Gross Charge Per Trip

$929.59 $1134.10 $204.51

Cash Collection Per Trip

$396.78 $492.00 $95.22

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Proposed EMS Fee Schedule Adjustment

Summary

• By adjusting the EMS fee schedule and

implementing zero-balance billing for Addison Residents

• Town will realize increased revenues
• Eliminate out of pocket deductibles and co-pays

related to ambulance transports for Addison residents

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