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King William Board approves new EMS transport billing rates, citing $666,208 shortfall
Summary
Chief Ron Brown said current EMS rates leave about $666,208 annually unpaid by insurers; the board approved new billing rates intended to raise reimbursements and cover new in-house pharmacy and security costs, with an effective date discussed as Jan. 1.
Chief Ron Brown presented the county's proposed emergency medical transport billing-rate changes at a public hearing Dec. 9, telling the Board of Supervisors that the current schedule leaves an estimated $666,208 in annual reimbursements uncollected. Brown said the county recently established an in-house pharmacy and has spent about $21,000 setting secure drug storage and tracking systems; those and other costs motivated the rate review.
Brown walked the board through categories (BLS, ALS level 1, ALS level 2, mileage) and compared Medicare / schedule C payouts to the county's current gross rates. He recommended adjustments to align more closely with insurer schedules so the county stops “leaving money on the table.” During questions he provided year-to-date operational figures: 1,191 incidents countywide since July 1; station-level incident and transport breakdowns; and a countywide transport percentage of 67.3%.
Following the public hearing, a motion to approve the new EMS billing rates (with an effective date discussed as Jan. 1) was moved and passed by roll call. The board requested staff to provide more detailed call counts at the January meeting.
