D11692 wn�ta - rcv c�e►k C I T Y O F s A I 1\'T YA U L
Pink — Finane�Dept.
Cana►y— D�Pt.
OI�'FIGY: OF THE ;1.1YC�R �II�/�^ I
' �VO: ���''
ADMINISTRATIVE ORDER , �/�—�
' Date: IO_�-''(� '�
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ADMINISTRATIVE ORDER, '
WHEREAS, the City of Saint Paul provides emergency medical services ,and;
WHEREAS, the fees for services are defined as Advanced Life Support Services
and Basic Life Support Services ,and; !�
j
TNEREFORE, the proper City officials are directed to bill for Advanced Life
Support Services effective November 1, 1991, where the service provided meets -1I
the criteria developed in the Medicare' Regulations; namely, there is - I
appropriate life support equipment on the', vehicle, there is a paramedic on �i
board and the running lights are used. ,
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APPROVED AS TO F M
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Assistant City Attorn �� �✓� Department Head
7/
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Date
administrative Assician�tfl Mayor
A0101691
�PARTM[NT/OFFICE/COUNdL ( � DATE INtTIATED �' '�—"
FIRE AND SAFETY ERVICES 10-16-91 GREEN SHEET N0. 9L��r��
CONTACT PER80N d�PHONE �DEPARTMENT DIRECTO � 2 / a dTY OOUNCIL
ASST CHIEF SCHAU 224-7811 �� CITY ATfORNEY � GTY CIERK
ST BE ON COUNpL AOENDA BY( TE) ROUTINO BUO(iET DIRECTOR FIN.�MOT.SERVICES DIR.
�MAYOR(OR ASSIST�
TOTAL#►OF SIGNATURE P tiE8 (q.IP I�.L LOCATIONS FOR 81GNATUR�
�cn°"pE°��o:TO APPR VE AN ADDMINISTRATIVE ORDER AUTHORIZING A CHANGE IN FIRE AMBULANCE
BILLING PROCEDUR WHICH WILL BRING US INTO CONFORMANCE WITH GENERALLY ACCEPTED PRACTICE
IN THE METRO ARE AND FEDERAL GUIDLINES. THE RESULT WILL BE AN INCREASING PRQPORTION RUNS
WILL BE CATEGORI ED AS AN ADVANCED LIFE SUPPORT RUN WHICH PROVIDES ADDITIONAL REVENUE OVER
REOOMMENUnnONS:Apprwe W c► (t� COUNCII COIAMn7`EE/f�EAi�FI i�PORT OPTIONAI.
_PLANNINO COMMI8SION dVIL SERVI�COMMIBSION ANALYST PHONE NO.
_qB COMMITfEE
OOMMENT8:
_STAFF
_D18TRICT COURT
8UPPORTS NMKYi COUNdL OBJE 7
II�TIATINO Pf�BLEM,138UE.OP (Who�NRat.�Nhsn,Whws,Nlh�:
THE DEPARTMENT S REVIEWED ITS �LING PRACTICES WITH ITS TRANSMEDIC BILLING CONTRACTOR,
METRO ,�iREA AMBU CE SERV��ES AND FEDERAL GUIDLINES. THE DEPARTMENT IS ABLE TO CHARGE
MORE T�$NS TO THE ALS (ADVANCED LIFE SUPPORT) CATEGORY PER FEDERAL REGULATIONS THAN IT
CURRENTLY DOES H1�3� PRODUCING ADDITIONAL REVENUE. a
ADVANTAOES IF APPROVED:
ADDITIONAL REVEN E WILL BE PRODUCED WITH MINIMAL DIRECT IMPACT ON THE CITIZENS OF
ST. PAUL DUE TO DICARE ETC. . . AND INSURANCE COVERAGE.
�BADVANTAOEB IF APPROVED:
NONE APPARENT. ���������
�?CT 2 3 �
a�lTY f;►.���::
DISADVANTAOES IF NOT APPF�VED:
ST. PAUL WILL N T BE CHARGING FOR SERVICES IN A COMPETITIVE WAY AND THEREFORE FOREGOING
SIGNIFICANT REV UE INCR�ASES DURING 1992 AND BEYOND. .
TAL AMOUNT OF TRAN8AC ON : COST/REVENUE YUDOETED(CIRCLE ONE) YES NO
FUNDINd SOURCE ACTIYITY NUMOER
FINANGAL INFORMATION:(EXPWI�
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