Adams County Board OKs additional expenses for Ambulance Service

Posted: Nov. 13, 2012 7:03 pm Updated: Nov. 27, 2012 7:15 pm

Herald-Whig Staff Writer

The Adams County Board Tuesday night approved an additional $57,109 in expenses for the Adams County Ambulance Service for the next fiscal year.

Of that, $36,000 will be used to pay for EMS supervisory duties that will be split among three existing staff members, eliminating the need for an assistant director. The remaining $21,000 is for office and ambulance staff salaries.

John Simon, director of the Adams County Emergency Management Agency, has served as interim assistant director since Tony Slater resigned that post in June to take a position with the Brown County Ambulance Service.

The budget amendment was approved 14-6, with one member absent.

Earlier Tuesday, the Ambulance Board was informed that $64,000 more in accounts are now overdue by more than 361 days. In April, the department had $221,000 more than 361 days past due.

In June, the Ambulance Board received a report from Medical Business Resources that showed the county's billing and data collection service, Intermedix, could have collected an additional $238,000 in overdue accounts for the department.

Medical Business Resources submitted three proposals to the county if the Ambulance Board decides to drop Intermedix.

The first involves Medical Business Resources following up on collections for the department, which would handle the billing itself. The company would receive 9.2 percent of the revenue it collects. Intermedix receives 9.9 percent of what it collects for the Ambulance Service.

The company also submitted a proposal to handle only collections that are 90 days or older. The company would receive 14.4 percent of revenue collected.

Under a third option, Medical Business Resources would provide support to the department if it were to transition to handling all billing and collection in-house. The company would charge a monthly fee of $4,340, plus  $124 an hour for service completed.

The Ambulance Board took no action on changing its billing practices.