|FEE SCHEDULE FOR OUR|
|Basic Life Support Base Rate||$540.50|
|Advanced Life Support 1 Base Rate||$641.84|
|Advanced Life Support 2 Base Rate||$928.98|
|IV Therapy/IV Drugs||$162.00|
|FEES FOR VARIOUS PERMITS|
|Removal of Underground Storage Tank||$80.00 per hour -2 hour minimum|
|Removal Above Ground Residential Tank||$30.00|
|Exam Building Plans (15 pg)||$40.00 per hr. (up to 15 pages)|
|Each Additional Page||$5.00|
|Installation of Fire Extinguish Equip||$40.00|
|Alter fire Extinguish Eqp||$40.00|
|Copy of Fire Report||$10.00|
|Installation of Fuel Oil Burner||$40.00 (lst & 2nd visit)|
|Alter Fuel Oil Burner||$40.00 (1st & 2nd visit)|
|(Any additional visits)||$40.00|
|Building Smoke Inspection||$40.00|
|Each Unit over 5||$10.00|
|Smoke Detectors & CO Alarms Certificate of Compliane||$35.00 (1st & 2nd visit)|
|Truck Tank Inspections||Varied (as Below)|
|500 and over||$120.00|
|Installation Fire Alarm System/Sprinkler System||$40.00|
|Blasting permits (30 day)||$40.00|
|Christmas tree storage/sales||$40.00|
|Undground tank installation||$40.00 per hr (2 hr min)|
|Flamable storage permit||$30.00|
|Brush burn permit (season)||$15.00|
|Annual Agricultural burn permit||$30.00|
|Black powder storage||$40.00|
|Smokless powder storage||$40.00|
|Child Care Center||$40.00|
|Chapter 21 E Reports||$40.00 per hr.|
|Fire Alarm Connection|
|Annual User Fee||$60.00|
|All other permits required||$35.00|
|Copy of SARFS (Ambulance runs)||$10.00|
|Chpt 304 Inspection||$50.00 (liquid pouring establishments|
|Vent Free Fireplace||$40.00|
|Installation/Connection LP Gas Equip.||$40.00|
AMBULANCE BILLING POLICY
The policy of the Board of Selectmen is to collect all receivables as generated by the Marshfield Fire Department ambulance with the exception of cases where payment would create a severe financial hardship. It is with this intent that the following policy guidelines are established
1. Coastal Medical Billing (our ambulance billing company) issues an invoice to the patient which covers the cost of the ambulance transport. The reverse side of this invoice asks for insurance information to be provided by the patient. Coastal would then bill the insurance company. If no insurance information is provided, the patient is responsible for payment of the bill unless payment will create a financial hardship**.
2. If there is no response to the first bill, a second bill is sent after 30 days with a heading marked “Account is Past Due”.
3. Coastal will then make a phone call to the responsible party requesting payment.
4. If there is no response to the second bill, a third bill is sent with a heading marked “Account is Seriously Past Due”.
5. If there is still no response, the fourth bill would inform the patient that their past due account would be sent for collection following the same procedure as other money owed to the town.
6. If the bill remains unpaid after the phone call, denial of Town privileges would be enforced. This individual would not be able to obtain a beach sticker, transfer station sticker, building permit, burning permit, etc.
7. As a last resort, if no financial hardship is involved, the overdue bill would be refered for collection to an outside agency.
If a financial hardship question is presented the next invoice would have a table of the current Hill Burton poverty guidelines (schedule of rates is attached) and a questionnaire requesting family size and income. If the family income falls within the Hill Burton guidelines, this information would be provided on the form and then signed, under penalty of perjury, by the patient. The charge would then be considered for abatement by the Town.
Whenever invoices are 60 days overdue Coastal will supply the Town with a list of the names and amounts involved.