August 24, 2017

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Flagler County
Emergency Services
1769 E. Moody Blvd. Bldg #3
Bunnell, Florida 32110

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Frequently asked questions concerning EMS

I pay taxes, why am I being billed for this?

Of the funding necessary to operate the countywide ambulance system, property taxes make up 47% of total needed. The other 53% of required funding is generated through billing the users of the service (911 medical patients). In order to use the least amount of tax dollars to provide our ambulance service, FCFR utilizes a billing service.

Where do these rates come from?

These rates represent the average of providers in 17 counties and 42 municipalities. These rates were approved by the Board of County Commissioners and took effect May 2008.

What are your EMS transport rates?

Below are FCFR's rates for emergency medical transports. Rates are applied depending on the level of care required to treat and transport a patient to the hospital. Basic Life Support (BLS) is the lowest level of care administered; typically for a stable patient that does not require sophisticated paramedic level care. Advanced Life Support (ALS) involves a higher level of medical care where, depending on the patient's condition may require I.V medications, cardiac monitoring, airway management, etc.

Basic Life Support$400.00
Advanced Life Support I$465.00
Advanced Life Support II$630.00
Mileage (from incident site receiving facility)$9.50

Why don't you accept my insurance?

We are not required by any law or statute to be a participating provider with any commercial insurance company and accept only their allowed amounts. We will accept a payment from an insurance company and then bill the balance to the patient. We are required by law to accept the Medicare, Medicaid and Tricare rates and statutory adjustments are made to the accounts. The patient is then billed for the co-insurance or co-payments per their individual policy with Medicare or Tricare.

The hospital has all of my information, why doesn't FCFR?

We are not associated with any of the hospitals to which we transport patients. Our paramedics begin to gather information about our patients before they arrive at the hospital; sometimes, the hospital does not have patient information on file. Also, due to the nature of emergency calls, our paramedics may have to leave the hospital to respond to another emergency and not have the opportunity to receive patient information from hospital staff.

Why was I sent to collections?

Our billing company sends three statements to the patient at the address of record requesting either insurance information or payment. If the patient does not respond within six months the account will be sent to the collection agency for further pursuit of payment. If we do not have a good address for the patient, and the billing company cannot find a good address through their skip trace system, the patient will be sent to collections after six months.

What if I don't have insurance and I can't pay this bill?

Flagler County does not have any local ordinances or statutes to provide for self pay discounts. Our patients can contact our billing agency, The Flagler County Tax Collector at (386) 313-4160 to utilize the option of a payment plan. It is important that payment arrangements are made within six months of receiving a bill. Delinquent accounts, those accounts with no activity for six months, are sent to a collections agency.

Why do I have to sign the Responsibility Signature Form?

Medicare now requires that anyone transported to a hospital by an ambulance service, sign a form. Since we donít always know who is a Medicare patient and who isn't, we ask all of our patients who are awake and alert to sign the form for our records.

My child (a minor) was taken to the hospital by ambulance. Why is the ambulance bill in my child's name?

At the time that our paramedics provided emergency care to your child, information about you, the parent, wasn't available or received. Simply call The Flagler County Tax Collector at (386) 313-4160, and explain the situation and that you would like your name added to the account as the parent or guardian.

Why was my child (a minor) sent to collections?

Our billing company sends three statements to the patient at the address of record requesting either insurance information or payment. If the parent or guardian does not respond within six months the account will be sent to the collection agency for further pursuit of payment. If we do not have a good address for the patient, and we do not have the name of the parent or guardian, and the billing company cannot find a good address through their skip trace system, the patient will be sent to collections after six months. If the collection agency is notified that the patient is a minor they will not send the patient's information to the credit bureau.

A family member, who received your ambulance service in the past, recently passed away. He/she is still receiving ambulance bills. How do we stop the billing company from sending bills?

Contact The Flagler County Tax Collector at (386) 313-4160 to let them know of your loss. You will be asked to send them a death certificate as proof of your loved one's passing in order to close the active account.

Do I have a choice of which hospital I want to be transported to?

Flagler Hospital is the only hospital located in Flagler County. State law requires us to transport patients that call 911 to the closest appropriate hospital. In most cases, Flagler Hospital will be the facility of choice for transport. Some areas of the northern most county may be closer to Florida Hospital St. Augustine. In this case, patients may choose to be transported to St Augustine.

Trauma Alert patients: Per State Statute, all patients meeting state approved Trauma Alert criteria must be transported to the nearest state approved Trauma Center which is Halifax Hospital in Daytona.

Do I have to go the hospital when I call 911?

No, you are not forced to go the hospital because you called 911. It is often strongly suggested that you go to the hospital, but if you are awake, alert and oriented you have the right to choose whether or not you will be transported via ambulance. If you choose to refuse transport to the hospital, you will be asked to sign a Patient Refusal Form by the paramedics; this releases Flagler County Fire Rescue from liability in the event that your condition deteriorates after refusing medical care.

What can I do to help the paramedics who come to my home?

You can assist the paramedics that respond to your emergency by having a complete list of your medical problems, medications and allergies to medications readily available. Keep this information in your automobile as well; you never know where you will be when an emergency happens!

If you have pets, it is a good idea to place them in a secure area or room so that they are not startled by the arrival of our paramedics.

In addition, if you or a loved one has a Florida Do Not Resuscitate Order (DNRO), please ensure that it is available upon the paramedics' arrival. You can present a copy of the DNRO, but a copy must be printed on yellow paper in order for it to be considered valid.

What will happen when I arrive at the hospital in the rescue unit?

Upon arrival at the hospital, your care will be transferred over to the nursing staff at the hospital facility. Depending on the volume of patients at the hospital, it is possible that you may be sent to the waiting room if you are stable enough - even though you arrived by ambulance. Please remember that the hospitals treat patients utilizing a triage system. This means that the most severely sick or injured patients are seen first.

What do I do if I have lost some of my belongings when I am transported to the hospital?

Flagler County Fire Rescue does not have a "Lost and Found". Patient belongings are left in the emergency department room with the patient at the time of transfer. Although the hospitals typically have a Lost and Found area, many patients never recover their belongings once they are misplaced. An easy way to ensure that this does not happen to you is to make sure that you only take items that are absolutely necessary with you to the hospital. Remember that the hospitals see large volumes of people each day and it is very easy for items to be lost or accidentally disposed of. Never take your valuables to the hospital with you.

How can I share a good experience or a complaint regarding the Flagler County Fire Rescue paramedics that responded to my emergency?

You may contact Flagler County Fire Rescue's Office (386) 313-4256 for either.

If you are sharing a story regarding a good experience, or you would like to thank a crew, the Fire Rescue Office will prepare a memo based on your experience which will be placed into the crew members' personnel files. These memos will follow the paramedics for the remainder of their career with Flagler County Fire Rescue. If you would rather provide a good experience in writing you may do so by sending the correspondence to Flagler County Fire Rescue, 1769 East Moody Blvd. Bldg #3, Bunnell, Fla, 32110. Please include the name of the patient, the date and location of the occurrence. This will help us identify the paramedics deserving praise.

If you call to report a complaint, the call taker will collect your name, contact information and date of service. The incident report, along with your contact information, will be passed on to the appropriate Battalion Chief that oversees the crew in question. The Battalion Chief will contact you to obtain the specifics of your complaint and he/she will investigate. Before a complaint can be considered "closed", the Battalion Chief will be in contact with you again to advise you of the findings of his/her investigation. Since our crews, including our Battalion Chief, work a 24 hour "on"/48 hours "off" schedule, your complaint may not always be investigated on the exact day that you call it in. It will, however, be investigated upon the crews' return to duty.

How do I get a copy of a medical report?

Medical reports generated by FCFR are protected by federal HIPAA laws. In order to get a copy of a medical report on a specific patient treated by FCFR, you must appear in person at the Flagler County Emergency Operations Center at 1769 East Moody Blvd. Bldg #3, Bunnell, Fla, 32110. A signed affidavit of power of attorney is needed if you are not the patient. If the patient wants a copy of the report, a driver's license with matching information is required.

NOTICE: Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request,do not send electronic mail to this entity. Instead, contact this office by phone or in writing.