TO: Mayor Richard C. Irvin
FROM: Martin S. Lyons, Chief Financial Officer/City Treasurer
Gary Krientz, Fire Chief
DATE: November 3, 2020 (Revised November 24, 2020)
SUBJECT:title
Recommendation to Amend the Resident and Non-Resident Ambulance User fees.
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PURPOSE:
Resolution R16-030 (attached) authorizes the Chief Financial Officer to amend ambulance user fees based on market analysis either using the Naperville rate study or other data at his/her discretion. Based on data provided by the City's third party billing agency, Andres medical, and based on new revenue sources under the Ground Emergency Medical Transport program through the state of Illinois, the City is considering a new rate structure and analysis.
BACKGROUND:
Resolution R16-030 enabled the Chief Financial Officer to adjust ambulance rates as follows:
Section 4. The Chief Financial Officer/City Treasurer is empowered and herby authorized to annual adjust the City's user fee rates for ambulance/paramedic services provided to nonresidents so as to equal the corresponding averages reported in the Naperville Survey for the preceding year. If the City of Naperville ceases to conduct the annual survey of ambulance services, the Chief Financial Officer/City Treasurer will adjust the City's user fee rates for ambulance/paramedic services provided to nonresidents by the same approximate percentage that the United States Department of Health and Human Services adjusts Medicare rates.
Andres Medical Billing Services has been providing the City with quality billing services for more than a decade and also provides these same services to many Illinois and non-Illinois fire/EMS providers. As such, Andres has a larger data base from which to draw than the Naperville Survey. Furthermore, Andres maintains detailed information on billing structures for these communities to validate any adjustments the City of Aurora would like to make in the coming years.
In late 2019 and early 2020 the State of Illin...
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