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Monroe County Fire Rescue updates board on TraumaStar billing, collections and new helicopters; county recovering about half of air transport charges

5618757 · August 20, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Monroe County Fire Rescue briefed the Board of County Commissioners on Aug. 20 about TraumaStar — its air‑ambulance program — reporting new helicopters are arriving, that fiscal 2023‑24 collections recovered roughly half of billed air transport charges, and that federal reimbursement limits and the No Surprises Act constrain revenue recovery.

Monroe County Fire Rescue on Aug. 20 updated the Board of County Commissioners on TraumaStar air ambulance operations, billing and collections and an ongoing program to replace aging helicopters.

Most urgent operational news: the Sheriff’s Office confirmed delivery of the first replacement helicopter is expected imminently (flight originating from Philadelphia); two more aircraft will arrive in the coming weeks and months. Fire Rescue said the new fleet should increase flight availability and reduce maintenance downtime caused by the aging Sikorsky aircraft the county has been using.

Billing and collections: Chief and Fire Rescue billing staff walked commissioners through TraumaStar’s billing mix and the legal and contractual limits on reimbursement. In fiscal year 2023‑24 the county billed approximately 798 flights. Payers included Medicare/Medicaid/managed Medicaid (~59% of flights), commercial insurers (~13%) and the remaining mix of indigent/self‑pay/active billing cases. Chief reported a county recovery rate of roughly 51% for TraumaStar revenue in recent years, above the national…

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