Ambulance providers may bill for false alarms


Monday, December 22, 2008 | 4 comment(s)

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MEDFORD (AP) — Just calling an ambulance to the scene of a highway accident in Southern Oregon may end up with an expensive bill for a driver or passengers even if nobody is taken to the hospital.

The three ambulance service providers in Jackson County have the right to charge for treatment even if they don’t transport anyone to the hospital, leading to some surprises for motorists.

Jim Matteucci of Medford learned about the billing policy after police called for an ambulance following a minor car accident.

His 20-year-old son, Tony, received a $267 bill for treatment after Matteucci said paramedics only took his blood pressure.

“The bottom line is we feel like a victim,” Matteucci said.

The $267 is the minimum fee for responding to a call, up from $250.

Ken Parsons, manager of Mercy Flights, Jackson County’s largest ambulance service provider, said it pushed for the reimbursement policy because nearly a third of its calls do not go to the hospital.

“About 30 percent of our responses end up in no transport,” Parsons said. “Our costs are incurred whether we transport or not.”

Under the policy, minor treatments like doing a physical assessment, measuring blood pressure and blood sugar or bandaging an open wound count for billing purposes.

Parsons says ambulance crews often must do an assessment to protect themselves against potential liability down the road.

“The moment we’re requested, we incur a liability to make sure there’s no injury,” he said. “We try to err on the side of caution.”

Parsons said the Jackson County Board of Commissioners approved Mercy Flights’ request to levy the “treatment-without-transport” charge in December 2005 partly to compensate for reduced compensation from Medicare, which pays for ambulance transport for people over 65.

Matteucci, however, said he feels wronged by the charge because he did not call for an ambulance. He called Medford police to document the accident, and apparently the police department dispatched the ambulance.

But the city’s emergency dispatch system requires an ambulance to be dispatched when a 9-1-1 call is made.

“Anytime a person dials 9-1-1 it starts a chain of events,” Medford Fire Chief Dave Bierwiler said. “Any time we’re officially notified of an emergency, we have to go.”
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You need to pay wrote on Dec 24, 2008 4:50 AM:

Every motorist with a cell phone is one of the reasons this policy needed to be made. Go and listen to the 911 calls the PSAP gets. They usually go like this; Caller: there is a car accident on route 123. PSAP operator; are there ant injuries? Caller: I don't know i just drove by and didn't ask. Now 911 has to send PD, Fire, and EMS When they arrive thety find no injuries, no damage and a confused driver as to why we are all there. Now, PD, Fire, EMS need to pay for the gas to get there the equipment we bring and all the liability insurance we need to carry. Just because there is no transport doesn't mean we have no expenses.

What a Shame wrote on Dec 23, 2008 10:45 AM:

As a former ambulance EMT, I can say that a lot of times the ambulance is called for some weird and unnecessary reason such as a small cut on the head area. Everyone knows that even a small cut to the head bleeds quite a bit and someone sees the blood and panics, thus calling 911. When the EMT's get there the injury might be a very small cut on the forhead. The ambulance WAS CALLED and where ever the ambulance came from, they should be paid for their response. Afterall, that ambulance does not run on air and it is expensive to have it out and not get paid. Sometimes, a friend or family member calls a ambulance for another person and when the ambulance gets to that location, the person who was injured or whatever refuses to go to the hospital. As long as the injured person is awake and responsive, the EMT's have no choice but to leave them. This is another example of why even though no one was transported to the hospital, the crew was called out and need to be paid for their response also.

First Responder wrote on Dec 23, 2008 10:26 AM:

First of all there are too many bogus 911 calls. People without insurance have been treated free by Fire Departments and Ambulance Paramedics for years. It doesn't surprise me they are charging many Fire Departments charge for MVAs.
If you have current auto insurance that should pay for the charge of the ambulance and FD charge. I can't imagine how some of the public services are recovering monetarily after this summer's $4 gas.

I WONT PAY wrote on Dec 22, 2008 12:46 PM:

That's such BS. You should not have to pay for an ambulance or services you do not need. There needs to be some sort of assessment before an ambulance is called and someone is billed for it! Maybe the person who calls (like to police department) should be held responsible. Too many call 911 when it is not an emergency!


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