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6. Resolution 4554 - Ambulance Rate IncreaseKalispell Fire/Ambulance Dept. 1,6 1 st Ave. East • P.O. Box 1997 alispell, MT 59903-1997 Report To: Kalispell Mayor and City Council From: Ted A. Waggener, Fire Chief Chris Kukulski, City Manager Subject: Rate increase request for Kalispell City Ambulance. Meeting Date: May 1, 2000 Background: The last rate increase for Kalispell City Ambulance was October 6t', 1997, and was as listed below: Item Basic Life Support Advanced Life Support Disposables* Disposables* Base Rate $235.00 $305.00 Loaded Mile 6.00 6.00 (First 100) Over 100 4.35 5.60 Oxygen 25.00 First 1/2 25.00 First 1/2 hr.,$10.00 ea. hr., 10.00 ea. additional hr. additional hr. Drugs cost of drug Telephone 406-758-7764 Fax 406-758-7758 The proposed budget for 00-01 recommends supporting the general fund of the fire department by $99,145 from the ambulance fund. This was derived from 15% of all firefighters wages and 75 % of our E.M.S. Directors wages. This support of the fire department budget will allow us the two additional firefighters we are requesting. This will help in our effort to lower our I.S. O. Rating, and give us more manpower which is badly needed for our emergency medical responses. We are also recommending the hiring of a 1/2 time clerk H (the cost is $11,534.00) to help in ambulance billing and fire department secretarial duties. A 1/2 time clerk is needed as the work load has increased. Our ambulance runs are increasing each year, and the billing of Medicare, Medicaid and insurance is very time consuming. It would also provide the department with backup in case of illness etc. -2- Recommendation: To approve a rate increase for the Kalispell City Ambulance, as listed below: Item Basic Life Support Advanced Life Support Disposables* Disposables* Base Rate Loaded Mile (First 100) Over 100 Oxygen Drugs *Disposables Return Transfer Rate $270.00 7.00 4.35 30.00 First 1/2 hr.,$10.00 ea. additional hr. 25.00 150.00 plus mileage $370.00 7.00 5.60 3 0. 00 First 1/2 hr., 10.00 ea. additional hr. cost of drug 35.00 Stand-by ambulance: $110.00 for the first hour and $85.00 per hour thereafter. This rate will be figured on a quarter hour basis. Anyone transported during stand-by time will be billed per any normal run. Fiscal Effects: Increase in revenue of $112,523.00. Alternative: As suggested by the City Council. Attachments: See attachment #1 for comparison of rates throughout Montana. Respectfully Submitted, Ted Waggener Fire Chief Chris Kukulski City Manager MONTANA HEALTHCARE CONSULTANTS, INC. ALS BASE RATE BLS BASE RATE ALS MILEAGE BLS MILEAGE BLS ROUTINE SUPPLIES ALS ROUTINE SUPPLIES OXYGEN ALS IV SUPPLIES ALS INTUBATION SUPPLIES (406) 549-7104 1-800-850-4574 Fax (406) 542-2785 CHARGE RANGE FOR AMBULANCE RATES Pvmwe'0 R' I G PwoQ k2T{ $375.00 TO $450.00 A0370 aY 30 6.00 '13 7D , o o $250.00 TO $325.00 A0362 3.4 a 0 2 20 'Oa $7.00 TO $9.00 A0390 4.60 7. 0 0 $6.00 TO $7.00 A0380 6.00 77. 00 $20.00 TO $25.00 A0382 $45.00 TO $60.00 A0398 $30.00 " TO $45.00 A0422 30. D b 3 D . O 0 $25.00 TO $40.00 A0934 $50.00 TO $80.00 A0396 Chief Waggener, Any price in this range is consistent with rates across the State of Montana. Call if you have any questions. 888 850-4574. 1008 Burlington Ave., Suite C • Missoula, Montana 59801 RESOLUTION NO. 4554 A RESOLUTION AMENDING RESOLUTION NO. 4368, BY REVISING AMBULANCE RATES FOR THE USE OF THE KALISPELL AMBULANCE SERVICE AND DECLARING AN EFFECTIVE DATE. WHEREAS, the City of Kalispell maintains an ambulance service through its fire department; WHEREAS, on October 6, 1997, the City Council established Resolution No. 4368, which set the rates for the Kalispell Ambulance Service; and WHEREAS, to support this service it is necessary to revise the rates that are charged for its use. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF KALISPELL AS FOLLOWS: SECTION I. Item Base rate Loaded mile rate (First 100) Over 100 Oxygen Drugs Disposables That Resolution 4368 is hereby amended by revising the rates of the Kalispell Ambulance Service as follows: B.L.S. Rate/ Disposables* $270.00 7.00 4.35 30.00 First 1/2 hr., 10.00 each addll hr. 25.00 Return Transfer Rate 150.00 plus mileage A.L.S. Rate/ Disposables* $370.00 7.00 5.60 30.00 First 1/2 hr., 10.00 each addll hr. Cost of Drugs 35.00 Stand-by Ambulance: $110.00 for the first hour and $85.00 per hour thereafter. This rate will be figured on a quarter hour basis. Anyone transported during stand-by will be billed per any normal run. *B.L.S. = Basic Life Support A.L.S. = Advanced Life Support SECTION II. This Resolution shall become effective immediately upon its passage by the City Council. PASSED AND APPROVED BY THE CITY COUNCIL AND SIGNED BY THE MAYOR OF THE CITY OF KALISPELL, THIS 1ST DAY OF MAY, 2000. ATTEST: Theresa White City Clerk Wm. E. Boharski Mayor