Quarter of incident date
Insurance Medicaid Medicare Nopayer Other
they’re used and why they need to be filled out.
Finally, we shared the agency data with
everyone. For those we identified as being
above the threshold, we showed their specific
data in comparison to the agency averages
and worked with them individually, sending
weekly updates on their performance.
Training on the importance of collecting
automotive policy insurance information, documenting on-the-job injuries (workers’ compensation claims) and developing better ways
to ensure revenue is captured will continue.
Educating staff and reducing the no payer
rate will be an ongoing process.
Starting in FY 2015 Q4, we saw measurable progress as our documented no payer
rate declined while our documented funding
sources increased. We’re continuing to make
progress even with our call volume on track
to be 2,000 incidents higher than FY 2015.
In the current and previous fiscal years, our
agency has been able fund a total of $1.3 mil-
lion and is proposing another $1 million in
capital expenditures with no impact to taxpay-
ers. We were also able to address the increasing
call volume with an additional 9-1-1 ambu-
lance at no cost to tax payers.
Although there are many questions regard-
ing what the future holds for health insurances
and ambulance reimbursements, there’s one
thing that’s certain: The cost to operate an
ambulance service will only continue to rise.
Through quick analysis of the data that many
services already collect, management teams can
quickly spot potential problems and maximize
their revenue stream. JEMS
Nathan Jung, EMT-P, is EMS administrator for Galveston
County Health District in Galveston, Texas.
Figure 3: Payer rates over time
Starting in FY 2015 Q4, Galveston EMS saw measurable progress as their documented no payer rate declined,
while their documented funding sources increased.