Ocean Shores EMS Billing Review Other Observations

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Ocean Shores EMS Billing ReviewOther Observations
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Uncollected Ratios

• Uncollected Balance 414,663
• Total Charges (before Write offs (W/O))
  1,262,850
• Percentage Uncollected
• (414,663/1,262,850) X 100 32.84
• Net Write Offs 417,417
• Probably due to Medicare, Medicaid, DHS
  Assignment
• Total Charges (after W/O) 845,433
• Percentage Uncollected after W/O
• (414,663/845,433) X 100 49.05

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Unspecified/Unbilled Calls

• Total Calls 1775
• Total Calls Billed 54.1 960
• Total Calls Unbilled 45.9 815
• Hoquiam Charge for a 911 Call
• Paramedic is dispatched
• Transport is refused
• Charge is 250.00
• Ocean Shores(If 150 were charged) 815 X 150
  122,250 additional revenue

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We Need to Charge Other Districts

• Total EMS Calls Billed Out of City 28.8
• 2009 EMS Budget 1,106,049
• Our Cost to Support Non-Taxpayers 318,542
• Their Current EMS Levies are not part of OS
  Revenue
• Dist. 7 58,221
• Dist. 8 66,899
• Dist. 4 10,712
• Dist. 16 20,844
• Total 156,676
• Per Call Basis Does Not Support Service Delivered

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South Beach Ambulance Service3 Advanced Life
Support (ALS) and 1 Basic Life Support (BLS)
Ambulance Contract40 Square Miles 8900 People

• Transportation NON-Emergency
• Volunteers Only
• BLS Vehicle used
• No Volunteers Call Declined
• All Fire Districts and Cities Contribute
• Total Levy 503,717
• Regular EMS Levy
• Ambulance 1 Year Levy
• Balances Their Annual Budget

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Conclusions for a Plan of Action

• A Budget based upon Real Charges
• Improve Collections
• Bill for Non-Transport 911 Calls
• Charge Neighboring Districts Their Fair Share Of
  Stand-By Costs instead of Cost Per Call Basis
• Labor
• Equipment
• Buildings
• Resources