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EMS billing transition slows receipts; chief seeks ambulance re‑box while councilors question intergovernmental charges
Summary
EMS officials described a billing vendor transition that delayed collections and reported expected long‑lead capital needs including an ambulance re‑box. Councilors raised concerns about long‑standing intergovernmental charges levied on EMS and asked whether those funds could be redirected toward retention bonuses.
Nick Arvias, chief of EMS, and Fire Chief Jeff Kindert described EMS revenue, billing changes and capital needs during the Committee of the Whole budget review.
Arvias said the city’s ambulance billing transitioned to a new vendor to gain lower fees (from about 6.5% to 4.5%) and that the change caused a two‑month lapse in collections while the new vendor and hospital systems established data exchange. He told the council that the department collected about $3.4 million from Medicare/Medicaid last…
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