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04. 1998 Ambulance Write-Offse OLML Kalispell Fire/Ambulance Dept. 336 1 st Ave. East • P.O. Box 1997 Telephone 406-758-7764 Kalispell, MT 59903-1997 Fax 406-758-7758 REPORT TO: Honorable Mayor and City Council FROM: Ted A. Waggener, Fire Chief SUBJECT: Ambulance Write Offs for 1999 MEETING DATE: May 17, 1999 BACKGROUND: Yearly write off for the ambulance bills that can not be collected. We do not accept assignment on claims for private pay; the patient is liable for the full charges. However, we do accept assignment on Medicare/Medicaid Claims and on Medicaid Clients. We can only accept the money that they pay us and we must write the remainder off The credit bureau write off is for approximately June of 1995 through June of 1997. We have been working on bringing our credit bureau accounts more current over the past two or three years. Our goal is to have accounts not more than a year old in the credit bureau for collections. We work the average account for six months before we turn it over to the credit bureau. RECOMMENDATION: Write off for ambulance be accepted. FISCAL EFFECTS: $64,381.26 uncollectable for 1999. $86,214.04 credit bureau uncollectable. ALTERNATIVES: As suggested by the council. ATTACHMENTS: Attached is a list of the write-offs for the ambulance service that are not collectible for the reasons specified Respectfully submitted, Ted A. Wagg ner Fire Chief Chris A. Kukulski City Manager Report compiled on May 12, 1999. Write-offs for Kalispell Ambulance 1999 Small Amounts (to costly to bill for) Bankruptcies Indigent (no money -transients) No Hauls Over Charge Deceased No Estate Medicaid (accepted assignment and denied claims) Medicare/1V4edicaid (accepted assignment, denied claims and deceased ). Total: $ 177.93 2,452.77 3,936.32 625.00 126.00 8,870.22 18,651.56 29,541.46 $ 64,381.26 Credit Bureau write-offs through June of 1997 to bring us more current - $86,214.04 Some money may still be collected by the Credit Bureau on these accounts and if so will go into the ambulance fund.