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Item 10EProfessional services agreement with Intermedix June 20, 2006 Professional Services Agreement City currently staffs 2 mobile intensive care unit (MICU); 12 personnel staffing those ambulances and 1 person to cover during vacation, sick and training leave; During calendar year 2005 Fire Services responded to 816 EMS calls resulting in the transport of 551 patients (430 non-residents); Average cost per EMS run is $1,102.69; Average cost per transport is $1,628.96; Professional Services Agreement Finance staff currently spends 4 to 6 hours per month ($185) on ambulance fee collections and insurance filing with an estimated 40-50% collection rate ($68,500); The city does not accept Medicare assignment; Professional Services Agreement Intermedix would be compensated as follows: 12% of the total amount collected on each account; 13.8% of the total amount collected if payment is made by a credit card; Professional Services Agreement Approval of the agreement would require a fee amendment to increase our transport fee from $300 to $855; Current fee lowest among 12 cities with the highest fee of $1,115 charged for emergency transports; Keller, Bedford, Colleyville, Euless, and Richland Hills fee currently $855; The proposed fee would increase our recovery of cost from 18.4% to 52.5%; Professional Services Agreement Transport revenue would increase (net of Intermedix fees and excluding the increase in Medicare collections) $133,339 assuming 55% collection rate; $163,692 assuming 65% collection rate; Intermedix expertise in Medicare would increase our revenue and increase our level of service to residents on Medicare; Intermedix has indicated that collection rates in some instances exceed 65%; Initial term of agreement is for 1 year QUESTIONS?