07. Resolution 4368 - Ambulance Rate Increase RequestAgenda -October 6, 1997
AGENDA ITEM 7 - RESOLUTION 4368-AMBULANCE RATE INCREASE REQUEST
BACKGROUND/CONSIDERATION: The Fire Chief has requested a rate increase for the
Ambulance service. The last increase for the service was in 1995. This increase is requested due to
the increasing non -collectible billings and the "slow" reimbursements from Medicare. Our service
is experiencing the same trouble with this as all of the health providers across the nation.
The non -collectibles were projected to be approximately $60,000 for the end of the fiscal year. The
actual shortfall in this fund was $77,908. This means that our replacement fund will not receive the
$25,000 that we expected. The increase that is requested is summarized below:
Current Rate
Proposed Rate Inc.
New Rate
%Increase
BLS Runs $220
$15
$235
6.8%
ALS Runs $290
$15
$305
5.2%
Standby $110
$15
$125
13.6%
1' hour
Standby $85
$15
$100
17.6%
After 1 st hour
*Based upon 1,750 runs annually this increase should generate approximately $26,000 additional
revenue.
We have enclosed a comparison of other ambulance service fees across Montana.
Agenda -October 6,1997
RECOMMENDATION: Upon review of the revenue projections, the actual shortfall of revenues
(due to non-payment), and our need to continue to build the reserves to replace our equipment, I
concur with the Fire Chief s request and recommend approval of the rates as proposed.
ACTION REQUIRED: APPROVAL of Resolution 4368 will authorize the new rate to be placed
in effect.
RESOLUTION NO. _ 4368
A RESOLUTION ESTABLISHING 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; and
WHEREAS, to support this service it is necessary to establish
rates to be charged for its use, and the City Council deems it to be
in the public interest to establish reasonable rates.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
KALISPELL AS FOLLOWS:
SECTION I. That the rates for the use of the Kalispell Ambulance
Service shall be as follows:
Base rate
Loaded mile rate
(First 100)
Over 100
Oxygen
Drugs
$235.00
6.00
3.00
25.00 First 1/2
hr.,$10.00 each
additional hr.
$305.00
6.00
3.00
25.00 First 1/2
hr.,$10.00 each
additional hr.
Cost of Drugs
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 and approval by the Mayor.
PASSED AND APPROVED BY THE CITY COUNCIL AND THE MAYOR OF THE CITY OF
KALISPELL, THIS 6th DAY OF OCTOBER, 1997.
_-V 1W
Debbie Gifford, CMC
Clerk of Council
Douglas D. Rauthe, Mayor
j\wp\res\ambulance rates
VALISPELL FIRE DEPARTMENT
336 1 st Avenue East
P. O. Box 1997
KALISPELL, MONTANA 59903.1997
TED MAIN TED WAGGENER RICHARD SEDDON
ASST. CHIEF FIRE CHIEF FIRE MARSHAL
M E M 0
DATE: September 2, 1997
TO: Clarence Krepps, City Manager
FROM: Ted Waggener, Fire Chief
RE: Request for an ambulance rate increase
The last rate increase for the Kalispell Fire/Ambulance was
August of 1995. I request a small increase of $15.00 for both
BLS and ALS responses and $15.00 for stand by time.
Below is a list of our current rates:
BLS RATES ALS RATE
BLS RUNS: $220.00 ALS RUN: $290.00
MILEAGE: $6.00 per loaded mile
(More than 100 miles $3.00 per loaded mile)
OXYGEN: $25.00 for first 1/l/2 hours and $10.00 each
additional hour
DISPOSABLES: COST OF
(Collars)25.00 etc.
DRUG COST AS LISTED IN MEDICARE REGULATIONS
STAND BY AMBULANCE: $110.00 FOR THE FIRST HOUR AND $85.00 AN HOUR
AFTER THAT. WE WILL FIGURE THIS RATE ON A QUARTER HOUR BASIS.
WE WILL BILL ANYONE TRANSPORTED DURING STAND BY TIME AS A
NORMAL RUN.
Also, please find attached a copy of the ambulance rates
throughout the State of Montana for your information.
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