2015-65

ORDINANCE AUTHORIZING THE SAFETY DIRECTOR TO ENTER INTO A RENEWAL AGREEMENT WITH MEDICOUNT FOR THE CONTINUED PROVISION OF EMERGENCY MEDICAL SERVICES BILLING PROGRAM AND DECLARING AN EMERGENCY

WHEREAS, the Council created the Marion Emergency Medical Service Billing Program by its April, 2004 adoption of Ordinance 2004-35, and

 

WHEREAS, Medicount is the successor entity to the previous provider MBI who has tendered a renewal offer which the Safety Director recommends be implemented,

 

BE IT ORDAINED, by the Council of the City of Marion, Marion County, Ohio

 

Section 1.   The Safety Director is authorized to enter into agreement with Medicount the successor to MBI for the continued provision of emergency medical services upon such favorable terms as the Safety Director has conveyed to Council, and which shall include but not be limited to:

 

Initial rate structure:

 

                        Basic Life Support                 $       694.00

                        Advance Life Support 1         $       957.00

                        Advance Life Support 2         $    1,185.00

                        Extrication                              $       250.00

                        Mileage                                   $         14.53 /mile    

 

 

            The above rates, fees and charges shall be reviewed annually and may be adjusted by the Safety Director or the Council taking into consideration the actual costs associated with providing these services and after consideration of adjustments made to the prevailing medicare part B individual/annual disclosure report provided by the Federal Government. 

 

            Rates, fees and charges shall be deposited into the City’s General Fund. It is expressly provide the City is hereby authorized to take all actions necessary to become an authorized provider with major insurance carriers.

 

            The plan as established pursuant to Section 1. above shall include specific provisions for addressing mutual aid agreements in effect and rights of appeal for users.

 

Emergency Medical Services Billing Program

 

            In compliance with Ordinance 2004- 35 the Safety Director hereby adopts the following rules and regulations which may be amended from time to time as the Safety Director finds to be necessary.

 

 

RULES AND REGULATIONS

 

            The City shall continue to treat the local taxes collected from users of the service who are bona fide residents as copayments and deductibles.  Where the City provides services to a taxpayer of a governmental entity with which the City has a mutual aid agreement in effect at the time and that person is not a taxpayer of the City, the City shall make reasonable efforts to collect those amounts above insurance coverages from the other local governmental entity or provide for a method of reconciling same.

 

            The Plan shall provide for billing of individuals and insurers to the extent of their insurance coverage. Commonly referred to as insurance only billing.  A person employed by the City, who is provided services during the course of his/her employment, shall not be billed.

 

            Non-taxpayers shall be responsible for all charges.  All charges shall be applicable unless the user provides sufficient documentation to enable the Director of Public Safety to conclude, in his/her sole discretion, that the payment or some portion thereof would create an undue financial hardship upon the user.  Charges or portions thereof may only be waived by the Director of Public Safety.

 

            Any person who is charged for services may appeal said charges, balances, or deductibles whether covered by insurance or not by making a written request for reconsideration to the Safety Director of the City of Marion within 60 days of the date of mailing via regular U.S. Mail of the first notification of the charges for service.  If the appellant is not satisfied with the conclusion of the Safety Director he/she may make one final appeal to the EMS Billing Appeals Panel within 30 days of the answer of the Safety Director by delivering a written request for reconsideration of the Safety Director’s conclusion to the EMS Billing Appeals Panel. Delivery of said written request shall be perfected when served upon the Mayor or his secretary. The appeals panel shall consist of the Marion City Law Director, Mayor, and Fire Chief and a majority decision of no less than three members acting as a quorum shall be final and binding on both parties.

 

            All parties shall ensure compliance with CMS Carrier Manual section 2309.4 and any authority related thereto.  All Billing agents shall comply with all applicable laws and regulations which exist now or may exist in the future.

 

            Section 2.        That this Ordinance is hereby declared to be an emergency measure necessary for the welfare of the City of Marion and its’ inhabitants thereof and for the further reason that the City needs the continued provision of emergency medical services; and as such shall take effect and be in force immediately upon its passage and approval by the Mayor, provided it receives the affirmative vote of two-thirds of all members elected to Council, otherwise it shall become effective from and after the earliest period allowed by law.

 

 

                                                                                    __________________________

                                                                                    Dave Edwards

                                                                                    President of Council

Approved:

 

 

____________________________

Mayor Scott Schertzer

 

 

Attest:

 

 

____________________________

Clerk of Council