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HomeMy WebLinkAboutR-89-10340 J-89-1055 10/23/89 RESOLUTION NO. 89—IL034 WITH ATTACHMENT, A RESOLUTION,/AUTHORIZING THE CITY MANAGER TO ENTER INTO AN AGREEMENT BETWEEN THE CITY OF MIAMI AND AUTOMATED MEDICAL SERVICES, INC., FOR THE COLLECTION OF EMERGENCY MEDICAL TRANSPORTATION FEES, FOR A PERIOD OF ONE (1) YEAR AT Ai,. SOST NOT TO EXCEED $52,000 TO BE PAID FROM REVENUES COLLECTED FROM SAID FEES, SUBSTANTIALLY IN ACCORDANCE WITH THE TERMS AS SET FORTH IN THE ATTACHED AGREEMENT. WHEREAS, there has been a tremendous increase in Emergency Medical Responses making it necessary that more resources be directed in improving life support capabilities; and WHEREAS, the increased number of citizens requiring life support techniques has placed the Department of Fire, Rescue and Inspection Services in a position where it is difficult.to respond to all calls for life support; and WHEREAS, the City Commission passed and adopted Ordinance No. 10596, dated June 7, 1989, establishing a User Fee of $90.00 for Basic Life Support, $150.00 for Advanced Life Support, $17.00 for Oxygen Use, and $5.00/Mile for transportation from the scene to the hospital, for use of the Emergency Transportation Service: of the Fire, Rescue and Inspection Services Department, said user fees being charged to each patient.ireceiving transportation- services and to be collected according to a procedure recommended by the City Manager and approved by the City Commission; and. f _ WHEREAS, the City Manager has recommended that the City_ enter into an agreement with Automated Medical Services, Inc. for z collection of the Rescue Transport Usk Fees, for a period of one (1) year at a collection cost of $1.50 per patient account, with x Automated Medical Services, Inc., the Service Provider receiving 8% of the amount -.collected; and WHEREAS, -the anticipated annual cost of said agreement woud, be $52,000 to be paid from projected revenues of $4809000 from the Transport User Fee; } , oo'? AT-faCHMENTS CONTAINED 1WWhi NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: Section I. The City Manager is hereby authorized to execute an agreementr�with Automated Medical Services, Inc., for a period of one (1) year240mmencing November 21, 1989, and ending November 20, 1990, providing options for two (2) subsequent annual renewals, in substantially the form attached, for the collection of the Rescue Transport User Fees; said fees established for the use of the Emergency Medical Service of the Fire, Rescue and Inspection Services Department. PASSED AND ADOPTED this 30th day of November 1989. 2 XAVIER L. SUAR Z, MATOR ofti AGREEMENT BETWEEN # AND THE CITY OF MIAMI FIRE, RESCUE & INSPECTION SERVICES THIS AGREEMENT, is made and entered into this day of , 19890 by and between the City of Miami, a municipal corporation of the State o' Florida 9 _- hereinafter referred to as the "CITY", and 1C�e5 �T.N� a Florida a rporation, hereinafter referred to as the "SERVICE PROVIDER". - Witness: WHEREAS, the CITY routinely provides ground transportation of private individuals to local hospitals in CITY rescue vehicles; and \ WHEREAS, City Ordinance 10596 provides for the charging of a fee - for such transportation service; and , WHEREAS, the SERVICE PROVIDER has demonstrated its capability and ' its willingness to provide the requested services;_ NOW THEREFORE, for and in consideration of the premises and mutual covenants herein contained, the parties hereto agree as follows: 1. The CITY will provide the SERVICE PROVIDER with the - - information necessary for billing on a magnetic computer - tape for each individual transported by a ground rescue - vehicle. These documents will be forwarded to the SERVICE PROVIDER by the CITY Fire Department on a weekly basis. 3 2. Within five (5) business days after receipt of any ' particular Rescue Report, the SERVICE PROVIDER shall - initiate and mail to the transported individual an appropriate invoice. 3. The SERVICE PROVIDER agrees to generate and mail follow-up invoices on a set billing cycle. Billing cycles and the. number of invoices will be determined by the financial class s (self -pay, commercial insurance, Medicare, Medicaid=,- or, -_ Worker's Compensation) of the individual transported. 4. Form and content of the appropriate invoices, as well as r specific billing cycles, have been agreed to by both parties and are made a part of this Agreement in Attachment "A" hereto. 3_ ) r t- .0� 3 pit C 7 � t f F '4��^�..- 5• The SERVICE PROVIDER agrees to generate and mail necessary forms to third party payers when appropriate. The SERVICE _— PROVIDER understands that it may be necessary to solicit additional data beyond the information provided on the City Rescue Report in order to complete the third party invoices and forms. In such situations, the SERVICE PROVIDER agrees to solicit such information from the transported individual and/or the appropriate hospital. 6. The SERVICE PROVIDER agrees, upon request, to advise transported individuals, regarding insurance and other third party benefits, and to assist said individuals with the preparation and submittal of claims. 7• The SERVICE PROVIDER agrees to abide by the terms of any remittance agreement or lockbox agreement entered into by the CITY and its chosen bank.. It is agreed that all payments originated by reason of billings made on behalf of the CITY by the SERVICE PROVIDER shall be deposited into the account of the CITY in said depository. The SERVICE PROVIDER shall so provide for such direct remittance on its bills and/or statements rendered to transported individuals (or third parties, as the case may be) on behalf of the CITY. Said agreement shall provide for the third party depository to provide the SERVICE PROVIDER with a statement setting forth the name and amount of each account making payment, and such statement shall be provided to the SERVICE PROVIDER within three (3) business days after receipt. - All transport payments Records Custodian are account and a copy of SERVICE PROVIDER. collected by the City Fire Department to be deposited into the lockbox remittance will be forwarded to the In addition, said agreement shall include a standard procedure to be followed by the. third party depcsitory when checks have been returned for insufficient funds. Said, procedure shall require the third -party depository to - forward such checks to the SERVICE PROVIDER and to list such checks on the statement as debits. In the event that a payment is mistakenly transmitted by the payer to either the SERVICE PROVIDER. or the City of Miami — Fire Department, both parties agree to deposit said payment into the third party depository account. - t 4 AY — ` - - ti xe $ r!Y• fit:. 6 r y �° r C. F 8. The SERVICE PROVIDER agrees to provide the following reports f: i to the CITY on a monthly basis, in a format mutually agreed to by both parties:' a. Distribution of Charges and Collection. 1� += This report tracks the char es �i {' class mix of all transported ditidualsanforiaagiven i� month, and reports the collections in dollars and _ percentages by financial class. b. Accounts Receivable Summary._ This report shows the outstanding accounts receivable at { a month end and ages all accounts. The second portion of this report ages all accounts by financial class. C. New Charge Alphabetical Listing. This report lists all accounts alphabetically by date of j input and maintains daily and month -to -date totals by - number of transported individuals and dollars. d. Transported Individual Classification Listing. This report summarizes all new transported individuals by financial class (self pay, Medicare, Medicaid, commercial insurance, or Worker's Compensation) and dollar amount. e. Monthly Payment Listing. ` This report lists all payments, bad checks, and refunds posted to each account for the month. f. Check Edit Listing. _ Li of all transported individuals due refunds due to overpayment of account. - In addition, the SERVICE PROVIDER agrees to provide an "Alphabetical Accounts Receivable Listing" (an age accounts receivable summary for 30, 60, 90, 120, and 180 days, for all accounts) upon written request from the CITY. The CITY — agrees to limit such requests to no more than_; twice =— annually. 9• The SERVICE PROVIDER agrees to negotiate and arrange modified payment schedules for those individuals unable to pay the full amount when billed. 10 The SERVICE PROVIDER agrees to make available for inspection and audit all books and records related to the Agreement upon receipt of three (3) days prior written notice froto,t;he CITY. In addition, all records pertaining to the.AgreO.men� must be retained in proper order by the SERVICE PRQYIpBR.fo`r M Y� = at least 12 months following the expiration, of the K= Agreement.— z# h kH a ti {Y.Al t 1 �s�'i. t -fixq �L,'ai I r tif'� WV., `'.). ' k ' y5 � l fy f .•R k{r kA P�:8�-, a'rTb?l}�?'•�a7kx#.ut`'M.F �.. 11. The SERVICE PROVIDER agrees to maintain as confidential all medical and other patient information and to otherwise conform with state and local laws or rules related to the confidentiality of patient information. In the event of a demand for such information by a person or entity other than the parties of this Agreement, the patient or any person of entity authorized by the patient or by law to obtain such information, the SERVICE PROVIDER agrees to notify the CITY of the demand and •to withhold release of the requested information until such time as release is authorized by the CITY. 12. The SERVICE PROVIDER shall indemnify and save the CITY harmless from any and all claims, liability, losses and causes of action which may arise out of the fulfillment of the Agreement. The SERVICE PROVIDER shall pay all claims and losses of any nature whatever in connection therewith, and shall defend all suits, in the name of the CITY when applicable, and shall pay all costs and judgements which may issue thereon. 13. The SERVICE PROVIDER agrees to abide by the Federal Debt Collection Practices law and all similar State of Florida _ laws and rules. 14. The SERVICE PROVIDER agrees that it shall not discriminate as to race, sex, color, creed, national origin, or handicap in connection with its performance under this Agreement. Furthermore that no otherwise qualified individual shall, solely by reason of his/her race, sex, color, creed, '- national origin, or handicap, be excluded from the participation in, be denied benefits of, or be subjected to discrimination under any program or activity receiving federal financial assistance. The SERVICE PROVIDER agrees to, post in conspicuous places available for employees and applicants for employment, such notices as may be approved by the City of Miami and the _ Department of Personnel Management. The SERVICE PROVIDER acknowledges that it has been furnished a copy of the Minority Procurement Ordinance of the City of Miami, and agrees to comply with all applicable substantive and procedural provisions therein, including any amendments thereto. 15. The SERVICE PROVIDER agrees to provide the CITY with a listing, or a computer tape which is compatible with City - equipment, of all accounts past due 180 days or more (except = where a modified pay. -out schedule has been arranged), K- including all pertinent facts regarding attempted.collecti+on. efforts. (At the CITY's option, accounts due 180 days or more may be withdrawn from the SERVICE PROVIDER and returned to the CITY for further collection efforts) 4 t 7�! ., 4 _ q i Y `t r A K �+•L Y4 [ j � �' :^z rt, e t � f �;a ' �'• { �' .c �s'� Y.,'�- t t . i x ra%� az'"#�e r 4i �iJ'lP'JV 4 ,� Y A �£ dY A v Y rtNr Y 'sfif.'� ryE�c a, �,+zi� �....�. .. �, ���.._ , s� �„ k. `� e .. _ Tom; � ... .. o- • ` _ . - r r. `3 r ,e r, r 16. The SERVICE PROVIDER agrees to prepare responses to all inquiries concerning invoices received by transported individuals; commercial insurance forms, health plan claim forms; all governmental agency claim forms, Worker's Compensation claim forms; and such other forms and reports as may be required from time to time to be prepared, submitted, filed or otherwise provided by the CITY to any entity in connection with the operation of its ground transport billing and collection business. 17• The SERVICE PROVIDER agrees to provide and furnish all material and personnel required for the performance of the Agreement. 18. SERVICE PROVIDER and its employees and agents shall be deemed to be independent contractors' and not agents or employees of CITY, and shall not attain any rights or benefits under the Civil Service or Pension Ordinances of - CITY, or any rights generally afforded classified or unclassified employees; further he/she shall not be deemed entitled to the Florida Workers' Compensation benefits as an employee of CITY. The SERVICE PROVIDER shall supply competent and physically capable employees and the CITY may require the SERVICE PROVIDER to remove an employee it deems careless, incompetent, insubordinate or otherwise objectionable. 19. For the provision of all services described in this Agreement, the CITY agrees to pay the SERVICE PROVIDER a t 20. The CITY reserves the right to withdraw any individual account from the SERVICE PROVIDER, if it determines that a Casualty Form was mis-coded by rescue personnel, and therefore, mistakenly forwarded to the SERVICE PROVIDER for - billing. In such cases, the CITY will notify the SERVICE PROVIDER in writing, specifying name of transported individual, incident number, and reason for withdrawal. For such withdrawn accounts, the CITY agrees to pay $0.00 flat fee and both parties agree that the transport charge will be _ deducted from the total gross billings. 21. The SERVICE PROVIDER will submit monthly invoices to the CITY. Such invoices will be produced on the 15th day of each month for services rendered during the preceding month. The monthly invoices will include the SERVICE PROVIDER's flat fee for initial billings originated by the SERVICE PROVIDER during the preceding month, as well as the SERVICE PROVIDER's computation of Incentive Payments owed for the preceding month. Within one week of receipt of monthly invoices for the SERVICE PROVIDER, the City Fire Department will review requested amounts. If the Department review concurs with the SERVICE PROVIDER's calculations, the invoice will be forwarded to the CITY's Finance Department for payment. The monthly invoice will also include a list of accounts — which require refunds due to overpayment of account. Said list will include the transported individual's name, the incident number, the amount of refund required, the address to which the refund should be mailed, and the reason for _ overpayment. 22. The SERVICE PROVIDER agrees not to assign, transfer, convey, sublet, or otherwise dispose of the Agreement, or any or all of its right, title, or interest therein, or its power to execute such Agreement, to any person, company, or corporation, without prior written consent of the CITY. 4 - 6 - 23. The SERVICt PROVIDER agrees that, in case of default of this Agreement, the CITY may procure the required services from another source and charge the SERVICE PROVIDER as liquidated damages any excess cost occasioned thereby, not to exceed the amount that would have been charged by the SERVICE PROVIDER, provided that the SERVICE PROVIDER is given five (5) days from the date of written notice of the default to remedy the default. No failure of the CITY to insist upon the strict performance of any term or condition of this Agreement or to exercise any right or remedy consequent upon a breach thereof, and no acceptance by the CITY of full or partial performance during the continuance of any such breach, shall constitute a waiver of any such breach of such term or condition. No term or condition of the Agreement to be performed or complied with by SERVICE PROVIDER and no breach thereof shall be waived, altered or modified except by written instrument executed by the CITY. No waiver of any breach shall affect or alter the Agreement, to each and every term and condition of this Agreement shall continue in full force and effect with respect to any other then existing or subsequent breach thereof. 24. The CITY agrees that during the term of the Agreement, no other billing service will be employed to bill for CITY Fire Department ground transports, nor will the CITY Fire Department do any direct billing for same. 25. The CITY may at its sole discretion, terminate this Agreement at any time by giving ninety (90) day prior written notice to the SERVICE PROVIDER. Upon termination, the SERVICE PROVIDER will continue to perform all duties except original billing, for 180 days or until requested to cease, whichever first occurs, provided that the CITY continues to convey necessary documents to SERVICE PROVIDER as provided herein. Upon expiration or termination of this Agreement for any cause, SERVICE PROVIDER shall provide all reasonable assistance to the CITY and shall use its best efforts to return to the CITY in an orderly and expeditious manner, but in no event later than thirty (30) days after the date of such termination, all data, records, documents, reports, information, equipment and other property 'belonging to the CITY. Upon execution, this Agreement shall be in effect for twelve months. It may be renewed for two additional one -year - periods by mutual agreement of the parties indicated in writing sixty (60) days prior to the expiration date._ The rate of compensation can be renegotiated for each of the optional twelve-month extension periods. Compliance with Federal, State and Local laws: Both parties shall comply with all applicable laws, ordinances and epodes of federal, state and local governments. 28. General Conditions. a. All notices or other communications which shall or may be given pursuant to this Agreement shall be in writing and shall be delivered by personal service, or by registered mail addressed to the other party at the address indicated herein or as the same may be changed from time to time. Such notice shall be deemed given on the day on which personally served; or, if by mail, on the fifth day after being posted or the date of actual receipt, whichever is earlier. CITY SERVICE PROVIDER 275 NW 2 Street • • - Miami, FL 33128 so L YM am i F`.. 3314 3 b. Title and paragraph headings are for convenient reference and are not a part of this Agreement. c. In the event of conflict between the terms of this w Agreement and any terms or conditions contained in any attached documents, the terms in this Agreement shall rule. d. No waiver or breach of any provision of this- Agreement shall constitute a waiver of any subsequent breach of the same or any other provision hereof, and no waiver shall be effective unless made in writing. - e. Should an provisions y P , paragraphs, sentences, words or phrases contained in this Agreement be determined by.a court of competent jurisdiction to be invalid, illegal or otherwise unenforceable under the laws of the, State of Florida or the City of Miami, such provisions, 'tt paragraphs, sentences, words or phrases shall be deemed modified to the extent nebessary in order to conform; with such laws, or if not modifiable to conform with such laws, then same shall be deemed severable, and in either event, the remaining terms and provisions of this Agreement shall remain un-modified and in full force. and effect.- 29. Ownership of Document: All documents developed -by SERVICE PROVIDER under this Agreement shall be delivered to :CITY ':by "— said SERVICE PROVIDER upon completion of the services r required and shall become the property of CITY, without ' restriction or limitation on its use. SERVICE PROVIDER agrees that all documents maintained and generated. pursuant to this contractual relationship between CITY and SERVICE PROVIDER shall be subject to all provisions of the..Public Records Law, Chapter 119, Florida Statutes. x �x� 4i IT r 'F .d".t.Ska 9s',•`.� r •. �.,� a y Y -� It is further understood by and between the parties that any information, writings, maps, contract doCuments, reports or any other matter whatsoever which is given by CITY to SERVICE PROVIDER pursuant to this Agreement shall at all times remain the property of CITY and shall not be used by SERVICE PROVIDER for any other purposes whatsoever without the written consent of CITY. 30. Audit Rights: CITY reserves the right to audit the records of the SERVICE PROVIDER at any time during the performance Of this Agreement and for a period of one year after final payment is made under this Agreement. 31• Award of Agreement: SERVICE PROVIDER warrants that it has not employed or retained any person employed by the CITY to solicit or secure this Agreement and that it has not offered to pay, paid, or agreed to pay any person employed by the CITY any fee, commission percentage, brokerage fee, or of any kind contingent upon or resulting from the awardlft of this Agreement. 32. Construction of Agreement: This Agreement shall be construed and enforced according to the laws of the State of Florida. 33• Successors and Assigns: This Agreement shall be binding upon the parties herein, their heirs, executors, legal representatives, successors, and assigns. 34. Conflict of Interest. 1 a. The SERVICE PROVIDER covenants that no person under its employ who presently exercises any functions or responsibilities in connection with this Agreement has any personal financial interests, direct or indirect, with CITY. SERVICE PROVIDER further covenants that, in the performance of this Agreement, no person having such conflicting interest shall be employed. Any interests such on the part of the SERVICE PROVIDER or its employees, must be disclosed in writing to CITY. b. SERVICE PROVIDER is aware of the conflict of interest laws of the City Miami 5: of (City of Miami Code Chapter 2, Article V), Dade County Florida (Dade County Code Section 2-11.1) and the State of Florida, and agrees that it shall fully comply in all respects with the terms of said laws. 35. Entire Agreement: This instrument and its attachments constitute the sole and only Agreement of the relating to said grant and correctly sets forth parties hereto duties, y' and obligations of each to the other as of its date. Any prior R agreements, 8 , promises, negotiations, or representations not expressly set forth in this Agreement are of no force or effect. '3 .{5 IMAM—s rya £; R 36• Amendments: No amendments to this Agreement shall be parties. binding on either party unless in writing and signed by both IN WITNESS WHEREOF, the parties hereto have caused this instrument to be executed by the respective officials thereunto duly authorized, this the day and year first above written. ATTEST: MATTY HIRAI City Clerk , ATTEST: Cor oration Secreta Signature Page Continued .... WITNESSES: c As to SERVICE PROVIDER (Note: If SERVICE PROVIDER is not a Corporation, two witnesses must sign.) APPROVED AS TO INSURANCE REQUIREMENTS: Division of Risk Management " 10 - CITY OF MIAMI, a municipal _— Corporation of the State Of Florida - By: CESAR H. ODIO City Manager SERV C PROV D R: By: — Title (Seal) �n { A MyT ,81 , ATTACHMENT "A" (Form and content of the appropriate invoices, as well as specific billing cycles, have been agreed to by both parties and are made a part of this Agreement in Attachment "A" hereto.) Sample Invoice Invoice Messages/Self Pay Invoice Messages/Private Insuran e Invoice Messages/Medicare Invoice Messages/Medicaid, Sample Statement Of Account 77 x My Commission Expires: 00* City of Miami A_ F F I D A V I T Department of Law 1100 AmeriFirst Building One Southeast Third Avenue Miami, Florida 33131 TO WHOM IT MAY CONCERN: _ This is to certify that is authorized to make and sign contracts and agreements by or on behalf ofAaZA-Ma�iL mir3i� f"c Fa lea Name of Entity) ti Name n litale of Affidavit SWORN TO AND SUBSCRIBED of fobe mis' 1j4t4day 9. NOTARY LIC, State 0 Florida pry Public. Stffie M FbOft et tMW m, Commission ExPims Nov 3. IM Banded tltta WYymd Sondmg Y • w 12 w S t . l NN CORPORATE RESOLUTION WHEREAS, the Board of Directors of AS'p Via-S has examined terms, conditions, and obligations of the proposed contract with the City of Miami for �O�t 1� t a�_t��t awl � �'R�t t t� S • WHEREAS, the Board of Directors at a duly held cor- porate meeting have considered the matter in accordance with the by-laws of the corporation; NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF DIRECTORS OF tv d�1p� _(yVt tr&_cGO&.47! , that the are hereby authorized and instructed to enter into a contract in the name of, and on behalf of this corporation, with the City of Miami for �cEP�,.I[��Nrthi in accordance with the contract documents furnished by the City of Miami, and for the price and upon the terms and payments contained in the proposed contract submitted by the City of Miami. IN WITNESS WHEREOF, this ��,. day of c , 1gma Afix Corporate Seal ^_ r„# Na and Tltlt` -T ISSN` 4 t 13 v -t�.y'�� ��� „r—+r.�.�—.r*r+�^-_'r�r'.i ✓,� y �.�'� �� er-,.��'�'�3`a �' i t� z � f s F� � �,�.� �i �� ��"* f�,���c,} �v�.,�`�``�.� .� r�"�i€i� i.�'c v8 ^A' '� !� ✓ '�.� sp.yy � �� #{y� Y ,�.. a i.t CITY OF MIAMI, FLORIDACA=24 INTER -OFFICE MEMORANDUM TO: Honorable Mayor and Members DATE : NOV FILE of the City Commission FROM: Cesar H. Odi City Manager SUBJECT: Recommendation for Resolution and Agreement; Automated Medical Services, Inc. REFERENCES: ENCLOSURES: RECOMMENDATION: It is respectfully recommended that a Resolution be passed authorizing an agreement. between the City of Miami and Automated Medical Services, Inc. for the billing and collection of Rescue,, Transportation Fees. The term of the agreement is: for ;one:, ,(:1) 4 _ year with options for, two .(2) subsequent annual .renewals. >-,The p.resent_agreement with 'Advanced Data Processing, Ine. terminates, November 22, 1989. BACKGROUND: Pursuant to Ordinance No. 10596, dated June 7, 1989, the Department of Fire, Rescue and Inspection Services' Emergency _ Medical Transportation Service Fees were established as follows: $ 90.00 Basic Life Support $150.00 Advanced Life Support $ 1T.00 Oxygen Charge $ 5.00 Per -Mile / Scene to Hospital In that it was deemed practicable and advantageous far the -City art , x to consider a range of competing plans, specifi.aaticlna, t } standards, terms and conditions, competitive negotiations. ware' >w . held with six (6) billing and collection sd g providers able perform such services; Advanced Data Processing Lastra (Latin), Automated Medical Services (Anglo):'.Gottlieb:, Financial Services (Anglo), Michael Glinsky A Co., P,A. (Latin and -Sherer & Sharer Accounting Service ` (Black). Info;;at on from �, # each firm was obtained relating to their individual experieii qualifications, and the proposed cost or fee for said -services 4 . w _w } Y t I Fe' ���s j.K-#� `-i L ij.• l C aq -k i 'Jr t .� 1'2�4M+�>�?a^`" . Page 2 Upon evaluation, it was found that Automated Medical Services's proposal contains the most advantageous combination of price, at $1.50 per patient account plus 8% of the amount collected, and = quality of service, based in the following: - utilization of a 100% medical service billing including - IBM_hardware and software specifically designed for medical billing a - will ,pursue additional billing information through hospitals to reduce the amount of unbillable accounts - will utilize third party delinquent notices to increase the collection rate Will utilize an in-house collection department - built' -in motivation in that they will receive compensation according to the amount collected The ,collection„ policy will .be based on third party billing wherein' Medicare/Medicaid Insurance Companies will be billed directly. We anticipate approximately 9,000 "billable" transports .annually making the cost of this agreement $52,000 Projected revenue for one year after deduction of this colleCelon cost is estimated to be $428,000. Z uw k: a ; a, a t f ar �: :�`^w