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,, . , � <br />J A 2 � Y3 <br />BOOK <br />�,, <br />5 PAGE •.�41 <br />Jidocaine Jelly 2% <br />Lidocaine 1 <br />5.50 <br />5.00 <br />(.50) <br />gm <br />Lidocaine 2% - 100 mg <br />20.00 <br />4.00 <br />(16.00) <br />Morphine Sulfate 10 mg <br />13.75 <br />3.00 <br />5.00 <br />(8.75) <br />Narcan 2 mg <br />Nitrostat 1/150 <br />33.50 <br />3.00 <br />10.00 <br />-0- <br />(23.50) <br />gr <br />Phenergan 25 gm <br />1.00 <br />1.00 <br />-0- <br />Procardia 10mg <br />1'25 <br />1'25 <br />-0- <br />Proventil Inhalant 2.5 m <br />1.00 <br />00 <br />1.00 <br />-0- <br />Sodium Bicarbonate 50 meq 24 <br />Solumedrol 125 <br />50 <br />5.00 <br />00 <br />-.- <br />(19.50) <br />mg <br />Thiamine 100 mg <br />18.00 <br />10.00 <br />(8.00) <br />Valium l0mg <br />4.00 <br />4.00 <br />-0- <br />Verapamil 5 mg <br />8.60 <br />3.00 <br />(5.60) <br />25.00 <br />3.00 <br />(22.00) <br />INTRAVENOUS SOLUTIONS/SETUP <br />CURRENT <br />PROPOSED <br />CHANGE <br />I.V., drip sets, needles, jelcos <br />53.55 <br />25.00 <br />(28.55) <br />SUPPLY FEES <br />CURRENT <br />PROPOSED <br />CHANGE <br />Oxygen (includes mask, cannula, tubing) <br />Nebulizer <br />27.73 <br />25.00 <br />2.73 <br />( ) <br />O.B. Kit <br />6.50 <br />6.50 <br />-0- <br />Bandaging <br />77.75 <br />22.50 <br />(55.25) <br />Blood Sample <br />15.00 <br />15.00 <br />-0- <br />Disposable Bag Mask <br />15.00 <br />15.00 <br />-0- <br />EOA/EGTA <br />0.00 <br />28.00 <br />28.00 <br />Endotracheal Intubation <br />35.00 <br />25.00 <br />(10.00) <br />MAST Suit (only if inflated ) <br />40.00 <br />0.00 <br />25.00 <br />(15.00) <br />Spinal Immobilization <br />25.00 <br />25.00 <br />Suction Use <br />.75 <br />10.00 <br />10.00 <br />Sterile Water <br />6 <br />6.75 <br />5.00 <br />(1.75) <br />Burn Sheet <br />6.00 <br />5.00 <br />(1.00) <br />11.00 <br />5.00 <br />(6.00) <br />Sterile/un-sterile Gloves <br />Intraosseous Needle <br />1.00 <br />1.00 <br />-0- <br />Electrodes <br />20.00 <br />20.00 <br />-0- <br />Defibrillator Pads <br />1.61 <br />1.00 <br />(.61) <br />17.50 <br />5.00 <br />(12.50) <br />EQUIPMENT FEES <br />CURRENT <br />PROPOSED <br />CIIANGE <br />Cardiac Monitor/defibrillator <br />Pulse Oximeter <br />45.00 <br />15.00_ <br />(30.00) <br />Glucose Monitor <br />15.00 <br />5.00 <br />(10.00) <br />Pacemaker with Pads <br />7.00 <br />7.00 <br />-0- <br />105.00 <br />55.00 <br />(50.00) <br />ALTERNATIVES AND ANALYSIS <br />Compliance with Medicare Part B compels Indian River County to make an <br />effort to collect the deductible and/or co -payment amounts, as <br />applicable. As stated above, this requirement does not mean that our <br />citizens should be harrassed and staff has no intention of that <br />occurring. The only other alternative would be to not accept Medicare <br />assignment which would mean the monies paid would go directly to the <br />patient and they would be responsible for paying the county. Staff does <br />not recommend this approach inasmuch as this a <br />substantially reduce the monthly receivables. approach would <br />If the Board approves the recommendation and bills and collects <br />deductibles/balances from Medicare receipents, staff feels that those <br />participants with private insurance and non insureds should be included <br />in the collection process so that fairness and consistency will be <br />_ achieved for all citizens and visitors. <br />30 <br />