Albemarle Releases EMS Billing Rates

Albemarle Releases EMS Billing Rates

There are 88 comments on the NBC29 Charlottesville story from Nov 30, 2009, titled Albemarle Releases EMS Billing Rates. In it, NBC29 Charlottesville reports that:

On Wednesday Albemarle County Supervisors are expected to vote on ambulance billing fees.

Join the discussion below, or Read more at NBC29 Charlottesville.

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Charlottesville, VA

#82 Dec 4, 2009
Get a life Gordo wrote:
Give me a break. She only said the kid probably didn't have the best support system. If anything her story tells us that you can have a child at 17 and be successfull. I hope she will be the nurse taking care of you one day in the nursing. Karma is a ****!
Thank you for taking the time to actually read what I wrote.
paid and volunteer

Marshall, VA

#83 Feb 13, 2010
cville native wrote:
<quoted text>
Obviously whatever school system you attended failed you. It's their, not there, first off. Secondly, why post a comment which is completely false and unfounded? What are you basing your comments on? County vehicles driven outside the county cannot be used for personal use so if you see that, make a complaint. Police vehicles driven outside the county are for officers who hold call-out status, meaning they must be available 24hrs a day. And I'm pretty sure they aren't getting paid overtime, that's for sure. Anyway, back to the article. One of the main pushes, I would think, is the inordinate usage by people just needing a ride. Ask any rescue worker and they will tell you of the "sick" people calling 911 to get a ride downtown. They are a huge drain on the system and this fee-based system will quickly put an end to it. If you truly require emergency assistance, call 911. If you have a cold and want a ride to the ER, then this will be will a chafe. I'm sure there will be financial assistance made available to those that require a ride under real emergency circumstances, aside from the inevitable universal healthcare, which don't get me started on. I will continue to donate money, especially now that I now it is truly going to help people who need medical help.
just to clarify, just because they can now charge, does not keep the people who abuse the system from continueing to do so. they will still call 911, and will continue to get their free ride to the hospital. but this will raise the average joes insurance rates in the area, because, just like the care they recieve in the hospital, you cant get money from someone without it.

Charlottesville, VA

#84 Feb 13, 2010
I was shocked to learn that the Rescue Squad DOESN'T charge. Why should this be a free service? The charge doesn't pay for the cost of the service, it only helps to defray the totatl expense.

Moneta, VA

#85 Feb 24, 2010
lolcake wrote:
Dear Local,<BR><BR>
The plan was suggested and to be adopted by the Albemarle County Supervisors. I do not believe city officials had a say.<BR><BR>
Since Hollymead (Station 12) and Monticello (Station 11) are ran by the county staff 24/7, they have to adopt the plan by default. If you want to check if you live in the area served by Hollymead (Northern Albemarle) and Monticello (a region between Scottsville and CARS), visit the Albemarle County website. They have a map of the dispatch area.<BR><BR>
Scottsville (Rescue 7) sometimes rely heavily on Station 11 to cover some/most of their area.(It depends on the time of day). Hence, that is my guess on why they accepted.<BR><BR>
This essentially roughly northern Albemarle as well as the SE Albemarle will charge by Feb 2010.<BR><BR>
Thus far, CARS (Rescue 1 and Rescue 8) as well as WARS (Rescue 5) have not accepted the fee. They serve the city of Charlottesville and parts of Albemarle County as well as Crozet and the western part of Albemarle County, respectively.<BR><BR >
The moral of the story: call 911, ask for CARS or WARS to assist you!
You don't get to call 911 and ask for a particular agency to pick you up. Also keep in mind you will always have an Advanced Life Support (Medic) provider on every county run (i.e. Hollymead and Moticello) so you will have the highest level of prehospital care available to you and your family. Also this level of care is provided 24x7 365 days a year. Paying for EMS (ambulance) service is no different than paying for any other service. If you use it you need to pay for it. The cost is actually very reasonable if you consider the cost of the equipment and personnel. I am from a city system where EMS has been billing for over a decade. Comments about people not calling 911 because of the cost have been refuted time and time again. Scottsville has been proactive by electing to participate in the process. Unlike CARS and WARS Scottsville is able to think logically and unemotionally at the need for and benefits of revenue recovery. Again nobody will be denied care due to inability to pay. By the way here is a secret CARS does not want you to know. Albemarle County provides two paramedics to CARS from 6 am until 6 pm Monday through Friday to ensure they have personnel to run Advanced Life Support level calls.

Moneta, VA

#86 Feb 24, 2010
Wouldnt u like to know wrote:
First off Station 11 does not run all of Scottsville's calls. They are unfortunaley dispatched on any medic level call and 9 out of 10 calls they are not needed. Please get your facts straight before you kick down the volunteers. One way to save money is not to have an ambulance, fire engine, and other county vehicles dispatched to a call. There are calls when 3 or more vehicles will show up for a sick person. Also look at the SUVs for the fire personal. They are getting driven as personal vehicles. What a waste of money.
When someone calls 911 and says they have chest pain, difficulty breathing or any other life threatening emergency a medic is automatically dispatched to the call. If there is a medic available in Scottsville Station 11 is not added to the call. It is only when a medic is not available that this is done or if Scottsville's on-duty medic crew is on another call. While true many calls dispatched as ALS are not this is not known until they crew gets on scene. Scottsville does a good job and is to be commended but placing blame on Station 11 is not appropriate.

Moneta, VA

#87 Feb 24, 2010
Tired of it wrote:
My understanding from being involved in the process is that it will be compasionate billing. This means that they will bill you three times and if you do not pay that is the end of it. The county is actually after the insurance money. Look around and you will see that Louisa, Buckingham, and Nelson are currently billing for service.
Here is another fact to consider. Citizens from Fluvanna and Buckingham actually drive into Albemarle to use the county's EMS services because of inability of their county to provide enough personnel to respond to calls. When these folks use one of Albemarle's ambulances it is out of service to the citizens of Albemarle county. Should this type of abuse of the EMS system be allowed free of charge?

Moneta, VA

#88 Feb 24, 2010
Ollymo wrote:
<quoted text>
Nursing homes can't afford to hire more RN's at higher salaries to do the work that the CNA's do. I'm not knocking CNA's or LPN's, they are the greatest and, in my opinion, most of the time more compassionate and understanding (because the RN's are too busy with nursing duties).
I can tell you what crowds our emergency rooms. It's not the sick patients. It is the patient who comes in with a toothache to get narcotics instead of going to a dentist to have the problem fixed. It is the people with drug seeking behaviors that event ailments so they too can receive narcotics. It's the mom's who bring in their sick children (with non-life threatening ailments) after hours because they can't or won't take off from work to take them to their PCP. And it's the people who come to the ER's who are not sick but just accompany the patient because they have nothing better to do. Why does a patient need 15 family members to come with them? These are the people who are taking up room in the ER and are laughing and eating and drinking and watching TV and disturbing the sick people in the waiting room. The Emergency Room waiting area is not a social club, or a hotel lobby. I know this is off-topic but once when my husband was sitting in triage at a local ER, doubled over and vomiting with what later was found to be kidney stones, a man walked in, demanded to be seen because he was bitten by an insect. The area he was allegedly bit in was not swollen or inflamed. When asked if he was allergic to bug bites, he told the triage nurse no. She told him they'd see him but that he'd have a long wait. He got mad and left. How sick was he??? It is not the poor nursing home resident who really doesn't have a say so as to whether they want to go to the hospital that overcrowd the emergency rooms, it's all of these people who really have no reason to be there. In my opinion if you can walk into the ER, keep getting up to go outside to smoke and use your cell phone, drink soda and potato chips with all your aunts, uncles, cousins, neighbors, etc., you aren't sick enough to be in the ER.
I could not agree with your more about the abuse of the hospital emergency rooms by the people with the types of ailments you describe. That being said please keep in mind that many of the people with these "illnesses" are also the ones calling 911 and being transported by ambulance. Hence a drain on the EMS system as well.

Moneta, VA

#89 Feb 24, 2010
AcFrH8er wrote:
"The move will generate about $450,000 per year for the county which is already strapped for cash." Lets see why the county is strapped for cash.... Oh lets build a "super-station" in Hollymead 4 miles from 2 fully capable Volunteer fire departments (Earlysville and Seminole Trail). And also plans for a Pantops station and Ivy station. The county is the worst at seeing that the volunteer system is more than capable. Ohh and if you call 911 for a medical emergency just request CARS.
Yeah the volunteer system is more than capable. Give me a break! Hopefully ACFR will pull out of staffing your "more than capable" volunteer stations during the daytime and let your organizations fall flat on their face. Grow up and look for a way for the volunteer and career staff to work together. By the way you can't call 911 and request CARS to respond to your area if it is one covered by Hollymead, Monticello or Scottsville. If that were the case when I need a fire department response I would request Hollymead rather than one of your "more than capable" volunteer stations.

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