Number
100229
Version
Substitute 1
Reference
Sponsor
THE CHAIR
Title
A substitute ordinance relating to charges for patient services delivered by the fire department.
Sections
75-15-17 rc
Analysis
This ordinance increases most of the charges for patient services delivered by the fire department using fee schedules that have been adopted by the Milwaukee county association of fire chiefs and the intergovernmental cooperation council of Milwaukee county for 2010. Increases are $15 for paramedic services, $10 for most ancillary charges and $5 for drug charges. The ancillary oxygen and supplies charge and mileage charge remain the same as in 2009.
Body
The Mayor and Common Council of the City of Milwaukee do ordain as follows:
Part 1. Section 75-15-17 of the code is repealed and recreated to read:
75-15. Ambulance Certification Regulations.
17. CHARGES FOR PATIENT SERVICES DELIVERED BY THE FIRE DEPARTMENT. The fire department shall bill for and collect all revenues generated from advanced life support conveyances and service provisions using fee schedules that have been adopted by the Milwaukee county association of fire chiefs and the intergovernmental cooperation council of Milwaukee county and the common council. The rate charged for conveyance and services delivered by fire department paramedic fleet shall be as follows:
a. For advanced life support for patients who are residents of Milwaukee county:
a-1. Paramedic non-invasive service or treatment without conveyance: $120.
a-2. Paramedic service with transport Level ALS-1: $640.
a-3. Paramedic service with transport Level ALS-2: $690.
b. For advanced life support for patients who are not residents of Milwaukee
county:
b-1. Paramedic non-invasive service or treatment without conveyance: $165.
b-2. Paramedic service with transport Level ALS-1: $690.
b-3. Paramedic service with transport Level ALS-2: $740.
c. Advanced life support ancillary charges:
c-1. ALS supplies: $80.
c-2. Intubation: $75.
c-3. I.V. and supplies: $60.
c-4. Defibrillation: $95.
c-5. EKG: $95.
c-6. Oxygen and supplies: $75.
d. Drugs included in the Milwaukee county medical services program adopted by the Milwaukee county association of fire chiefs and the intergovernmental cooperation council of Milwaukee county:
d-1. Items approved in Drug Group 1, including Albuterol, Amidoerone (30 mg), Altropine, Aspirin (up to 324 mg), Benadryl, Heparin Sodium by I.V., Lasix, Lidocaine, Ativan, Versed, Sodium Chloride, Solumedrol (up to 40 mg), Terbutaline, Diazepam, Dextrose 50%, Nitro Spray SL, Normal Saline (capped), D50 and D5W, shall be charged a rate of $30.
d-2. Items approved in Drug Group 2, including Calcium Chloride, Epinephrine (I.M. or I.V., not by EPI-PEN), Dopamine, Lidocaine and Sodium Bicarbonate, shall be charged a rate of $35.
d-3. Items approved in Drug Group 3, including Fentanyl, Narcan and Normal Saline, shall be charged a rate of $45.
e. Other items shall be charged at the following rates:
e-1. Epinephrine by EPI-PEN: $90.
e-2. Adenosine: $85.
e-3. Glucagon, up to 1 mg: $85.
e-4. Solumedrol, 41-125 mg: $55.
e-5. E-Z IO: $115.
f. When the fire department performs a basic life support transport for a bariatric patient the department is authorized to charge the rate specified in sub. 14-c-1.
g. When the fire department provides advanced life support services to a cardiac arrest patient who is not resuscitated in the field the department is authorized to charge medicare the rate specified in sub. 14-c-1.
h. In addition to the charges provided in pars. a to e, a charge of $14 per mile shall be assessed for the distance traveled with the patient in the ambulance from the point of patient origin to destination.
LRB
APPROVED AS TO FORM
_________________________
Legislative Reference Bureau
Date:_____________________
Attorney
IT IS OUR OPINION THAT THE ORDINANCE
IS LEGAL AND ENFORCEABLE
________________________
Office of the City Attorney
Date:____________________
Requestor
Milwaukee Fire Department
Drafter
MET
7/9/10
LRB10275-3