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Home My WebLink AboutAmbulance Committee Minutes 06.25.1998 MINUTES AMBULANCE COMMITTEE JUNE 25, 1998 3:30 CITY ~IkLL MEMBERS PRESENT: OTHERS PRESENT: Gay Easton, Chairman Sue Blaskovich Jan Stanford Ken Olson Norman Orr Miles Walton Cathy Gabrian Joe Leckie Sue commented that she was approached by AMR .to put a paramedic in Laurel on the 4th of July. She was told that if we don't accept this proposal, they could not guarantee that a paramedic would be available if we needed one. James Ackerman said they are very shorthanded on paramedics. Discussion followed and Gay felt it would be a good idea to have one in Laurel. It was stated that there will be a command post set up in the park and this person could spend his time there until a call comes in. We will request that the paramedic be here from 4 p.m. to midnight. Sue mentioned that AMR is struggling to survive and they have lost a lot of their paramedics to the city of Billings. There have been rumors that the Billings fire department is wanting to take over the ambulance service in Billings. Captain Ballard has agreed to talk to Laurel regarding this issue. Cathy explained that Medicare has a "look back period" by which they determine their payment to us. This June, they will be looking back to our fees during the period covering July '95 through June '96 and this will determine their payment to us for the coming year. Any increase in our fees will not reflect in an increase in payment to us for over two years. The committee feels that we need to gradually increase our fees every year to meet increasing expenses. Joe Leckie was late for the meeting and Cathy explained that he felt the base rate for ALS response should be more than the BLS rate. If not, it is discrimination. Discussion regarding the terms of our contract with AMR. An initial figure was $ 100 per call but it was felt that we should keep $30 of it for doing the co-billing of the claim. Discussion regarding whether the drugs used should be paid to AMR, over and above the contract amount or be included in this figure. It was the consensus of the committee to present the proposal without the additional drug charges. Joe Leckie will call James Ackerman and present our proposal as follows. 1. The fee will be set at $ 70.00 per call. 2. Medicare has to approve it at an ALS level. 3. AMR will receive their payment in full, upon our receiving any money on the account. If this is not agreeable to AMR, the committee will meet with James Ackerman on July 9th at 3:30 p.m. to work out terms of the contract. The committee reviewed and approved the fee schedules (attached to minutes) and this will go to the council in the form of a resolution. Miles stated that this resolution can go to the council on July 7th so we can start using the new rates, regardless of whether the contract is ready. Discussion regarding the split between the city and the attendants for stand-by at sporting events. This needs to be included in the resolution and Miles suggested that it read that it is a 50/50 split between the city and the attendants. Joe asked Sue for a map or a description of the boundaries of our service area and he will incorporate it into the resolution. The meeting adjourned at 5:20 p.m. R~spect fully Submitted, Cathy Gabrian Deputy Clerk/Treas. CITY OF LAUREL LISTINg OF CHARGE FILE 6-98 ITEM NUMBER 7 6 8 9 18 19 20 24 25 27 36 37 38 39 4O 41 44 45 46 47 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 102 103 104 105 106 DESCRIPTION _ALS CO-RESPONSE AMOUNT PER LOADED MILS 6.00 BASE RATE 400.00 1/2 BASE PATE 150.00 (Indicate "multiple patient transport"- OXYGEN & MASK 35.00 DISPOSABLE SUPPLIE 35.00 IV DRUG THERAPY DISP. SUPP. 20.00 DEFIBRILLATIONDISP. SUPP. 30.00 ALBUTEROL NEBULIZER 4.00 ADENOCARD 37.00 ATROPINE 22.00 BEN~DRYL 6.50 BRETYLIUM 40.00 CALCIUM 11.50 D50 8,50 DOPAMINE DRIP 6.00 EPI 1 4.00 EPI 10 4.00 GLUCAGON 33,00 ISUPREL DRIP 15.50 LASIX 4.00 LIDOCAINE 6.50 LIDOCAINE DRIP 18.00 MAGNESIUM SULFATE 7,00 MORPNINE 4.00 ND. RCA-N 14.00 NITROSPRAy 5.00 PITOCIN 7.00 SODIUM BICARB 16.00 V/LLIUM 10.00 VAPONEPNRINE 28.00 INAPSINE 9.50 TETP. ACAINE 40.00 VSPAPAMIL 10.50 ACTIVATED C~COA/L 13.00 ATIVA/~ 16.00 DW SOLUTION 12.00 GLUCOSE 6.50 MEP~RODONE 5.50 NIFEDIPINE PROCARDIA 1.50 NITROGLYCERINE 4.00 NS SOLUTION 11.50 PROCAINAMIDE 20.00 ROMAZICON 89.00 THIAMINE 4.00 VERSED 19.00 XYLOCAINE JELLY 10.00 MEDICARE PROC.CODE A0390 A0370 A0999 Modifier 52) A0422 A0398 A0394 A0392 J7620 J0150 J0460 J1200 J3490 J3490 J3490 J3490 J0170 J3480 J1610 J7665 J1940 J2000 J3490 J3475 J2270 J2270 J7410 J2590 J3490 J3360 J7640 J1790 J3490 J3490 J0150 J2060 J7070 J0382 J2175 J3490 J3490 J7030 J2690 J3490 J3490 J3490 J3490 6-98 CITY OF LAUREL LISTING OF CHARGE FILE ITEM NUMBER 13 12 5 DESCRIPTION PER LOADED MILE BASE RATE 1/2 BASE RATE MEDICARE AMOUNT PROC.CODE 6.00 A0380 300.00 A0362 150.00 A0999 MEDICAID PROC.CODE 26 11 50 51 52 14 17 (Indicate DOA/BASE RATE STAND-BY/PER HOUR TREATED/NOT TRAI~SPORTED DOA TRANSPORT OXYGEN & MASK DISPOSABLE SUPPLIES DEFIBRILLATION DISP. SUPP. "multiple patient transport" - Modifier 52) 35.00 A0362 25.00 A0420 40.00 A0999 150.00 35.00 A0422 35.00 A0382 30.00 A0384 *****MEDICAID ONLY***** * 68 PER LOADED MILE * 69 BASE RATE * 85 1/2 BASE RATE * 70 OXYGEN * 71 OXYGEN MASK * 73 DISP.TUBING/ORAL AIRWAY * 74 DISP.TUBING/NASAL AIRWAY * 75 OBSTETRICS KIT * 76 BANDAGES/DRESSINGS * 77 HOT & COLD PACKS (EACH) * 79 KERLIX * 80 DISP. C-COLLAR * 81 DISP. GLOVES * 82 IRRIGATING SALINE * 83 TRAUMA PACKS 6.00 300.00 150.00 20.00 15.00 10 00 10 00 50 00 15 00 7 00 3 00 30 00 5 00 10 00 30 00 A0020 A0010 A0010 A0070 W5788 W5781 W5781 W5787 W5782 W5784 W5782 L0120 Z0025 W5786 W5783