Borough of North Arlington, NJ
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2021-03-11
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Part I: Administrative Legislation
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Chapter 25 Emergency Medical Services
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Article III Third-Party Payment Plan
- Part I: Administrative Legislation
- Ch 1 General Provisions
- Ch 3 Authorities
- Ch 5 Boards, Committees and Commissions
- Ch 9 Civil Service
- Ch 13 Claims Approval
- Ch 15 Community Emergency Response Team
- Ch 17 Court
- Ch 19 Defense and Indemnification
- Ch 21 Electronic Equipment Policy
- Ch 25 Emergency Medical Services
- Ch 25 Art III Third-Party Payment Plan
- § 25-12 Findings.
- § 25-13 Responsibility for billing.
- § 25-14 Fees.
- § 25-15 Review of records.
- § 25-16 Contracts with hospitals.
- § 25-17 Fee adjustments.
- § 25-18 Filing of copy.
- Ch 27 Eminent Domain
- Ch 30 Fire Department
- Ch 36 Length of Service Awards Program
- Ch 40 Longevity Pay
- Ch 48 Officers and Employees
- Ch 51 Personnel Policies
- Ch 54 Police Department
- Ch 58 Public Works Department
- Ch 62 Purchasing
- Ch 69 Seal
- Part II: General Legislation
- Ch 80 Affordable Housing
- Ch 83 Alcoholic Beverages
- Ch 87 Amusements
- Ch 91 Animals
- Ch 96 Automotive Sales
- Ch 115 Carnivals and Circuses
- Ch 122 Construction Codes, Uniform
- Ch 124 Construction Cranes
- Ch 130 Cruising
- Ch 134 (Reserved)
- Ch 139 Drug Tolerance Policy
- Ch 143 Drunk-Driving-Free School Zones
- Ch 147 Dumping and Dumpsters
- Ch 156 Fees
- Ch 160 Filming
- Ch 163 Firearms
- Ch 165 Fire Prevention
- Ch 169 Fire Zones
- Ch 173 Flood Damage Prevention
- Ch 177 Florists
- Ch 185 Garage Sales
- Ch 187 Vehicles and Traffic
- Ch 192 Graffiti
- Ch 198 Insurance
- Ch 205 Land Development
- Ch 209 Landmarks
- Ch 214 Library
- Ch 217 Licensed Occupations
- Ch 221 Littering
- Ch 229 Mausoleums
- Ch 236 Naming of Streets and Numbering of Buildings
- Ch 239 Newsracks
- Ch 243 Noise
- Ch 247 (Reserved)
- Ch 252 Parking
- Ch 256 Parks and Recreation Areas
- Ch 260 Peace and Good Order
- Ch 264 Peddling and Soliciting
- Ch 273 Property Maintenance
- Ch 277 Raffles
- Ch 281 Recycling
- Ch 285 Rental Property
- Ch 294 Secondhand Precious Metals Dealers
- Ch 298 Sewers
- Ch 300 Sex Offenders
- Ch 302 Shopping Carts
- Ch 310 Smoking and Tobacco Use
- Ch 314 Soil Removal
- Ch 319 Streets and Sidewalks
- Ch 324 Swimming Pools
- Ch 334 Trailers and Trailer Camps
- Ch 338 Trees
- Ch 344 Vehicles for Hire
- Ch 354 Waterfront Areas
- Ch 360 Wrecker Services
- Part III: Board of Health Legislation
- Ch 365 General Provisions, Board of Health
- Ch 369 Animals
- Ch 371 Body Piercing
- Ch 373 Buildings, Heating of
- Ch 382 Dry-Cleaning Establishments
- Ch 386 Dumping and Littering
- Ch 390 Fees
- Ch 394 Food Handling
- Ch 398 Garbage, Rubbish and Refuse
- Ch 400 Grease Traps
- Ch 403 Health Licenses
- Ch 408 Longevity Pay, Board of Health
- Ch 417 Nuisances, Public Health
- Ch 422 Road Stands
- Ch 430 Sanitary Code
- Ch 433 Sanitation Standards
- Ch 437 Sewage Disposal Systems, Individual
- Ch 445 Tanning Salons
- Ch 448 Tattooing
- Ch 452 Water Supplies
- Appendix
- Ch A463 Telephone Franchise
- Ch A464 Cable Television Franchise
- Ch A465 Open Video Systems Service
- Derivation Table
- Ch DT Derivation Table
- Disposition List
- Ch DL Disposition List
- Ch 119 Clothing Bins
- Ch 181 Fuel Oil Deliveries, Emergency
- Ch 290 Retail Establishments
[Adopted 4-1-2003 by Ord. No. 1877]
A.
The New Jersey State Department of Health has issued
licensure for the Municipality Emergency Medical Services Program
(the "program") administered by the Municipality Division of Ambulance
Services (the "Division"); and
B.
The program has been in operation providing experience
and statistics regarding the service and the patients served; and
C.
The Division has applied for a provider number from
the federal and state Medicare/Medicaid programs, enabling the Borough
of North Arlington to institute third-party payment plan (the "payment
plan"); and
D.
Most residents have a health insurance plan or Medicare/Medicaid,
which provides payments to relieve their payment obligations; and
as for Medicare, the Center for Medicare/Medicaid Services has issued
an opinion by the Office of Investigator General that municipalities
that operate ambulance service can waive copays and deductibles for
Medicare patients.
E.
It is in the best interest of the taxpayers of the
Borough of North Arlington to establish the third-party payment plan
in accordance with the Health Care Finance Administration guidelines
(HCFA) so that taxpayers will not be responsible for any out-of-pocket
expenses.
The Director of the Division (the "Director")
and the Chief Financial Officer of the Borough of North Arlington
(the "CFO") in consultation with the municipality's EMS Program Consultant
will be responsible for the plan's billing.
[Amended 9-18-2014 by Ord. No. 2137]
The fee service is set as $750 base rate, plus $10 per mile
per trip. Nontransports where aid is provided: $250.
The Director and the CFO shall annually review
the plan's cost accounting records. The CFO shall obtain an industry
average.
The Division is authorized to enter into contracts
with various hospitals that provide ALS services to the patients that
are transported by the municipal ambulance service allowing the hospitals
to bundle-bill Medicare for services rendered. The hospital will reimburse
the municipality its transportation costs within 30 days of receiving
payment.
The CFO shall annually, no later than March 1, adjust the fee for services as set forth in § 25-14 herein pursuant to the recommendation of the Director and the EMS Program Consultants.
A certified copy of this article shall be filed
with the applicable federal and/or state agencies.
