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West Newsmagazine 6/3/15

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16 I NEWS I<br />

June 3, 20<strong>15</strong><br />

WEST NEWSMAGAZINE<br />

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By JIM ERICKSON<br />

ericksonjim@att.net<br />

The Monarch Fire Protection District<br />

Board has raised the cost of emergency<br />

medical service calls charged to non-residents<br />

of the district.<br />

On a unanimous 3-0 vote, the board<br />

increased the district’s rates <strong>15</strong> percent at<br />

its May 27 meeting after hearing a presentation<br />

from the company it uses to bill and<br />

collect for emergency medical services.<br />

Tammy Campbell, senior vice president<br />

with Mediclaims, Inc., of Tonkawa, Oklahoma,<br />

said Monarch’s EMS billing rates<br />

are well below both the state average and<br />

those charged in the St. Louis area, and<br />

much less than what Medicare and Medicaid<br />

allow for such services.<br />

The district’s three-tier billing system<br />

is based on the level of service provided.<br />

Effective June 1, rates increased from the<br />

former charge of $650 to $750 for basic<br />

life support calls. New costs for advanced<br />

life support and more advanced life support<br />

calls (ALS 2) will be $975 and $1,<strong>15</strong>0,<br />

respectively, compared with rates of $850<br />

and $1,000 under the old billing schedule.<br />

Charges for transportation to hospital<br />

@WESTNEWSMAG<br />

WESTNEWSMAGAZINE.COM<br />

Monarch FPD boosts non-resident<br />

emergency medical charges<br />

emergency care facilities also will increase<br />

from $10 per mile to $12.<br />

Monarch will continue its long-held<br />

practice of not charging district residents<br />

for EMS calls.<br />

Based on a projected collection rate of<br />

85 percent, Campbell said the new charges<br />

will mean a $41,000 revenue increase for<br />

the district during the remainder of the year.<br />

Most of the 911 calls to which Monarch<br />

and other fire protection districts respond<br />

are for medical emergencies, including<br />

motor vehicle injuries.<br />

The board deferred action on rate increases<br />

for medical responses requiring little or no<br />

care and which often are the result of 911<br />

calls made by persons witnessing an incident<br />

and concluding an emergency exists.<br />

Collection rates on these so-called “treat and<br />

release” cases are low for a number of reasons,<br />

Campbell said, including the tendency<br />

to put off paying medical bills because<br />

doing so doesn’t adversely affect a person’s<br />

credit rating and people’s unwillingness to<br />

pay for services they didn’t request.<br />

Monarch directors will consider the<br />

issue later after more data on such incidents<br />

is gathered.<br />

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project,” Sanders said. “They are all directly<br />

affected by noise, light and the view of a valley<br />

destroyed by a sand and gravel mine. This will<br />

be a project lasting more than 50 years, and it<br />

will be a big mud hole the entire time.”<br />

The main intersection used by everyone in<br />

the area is Hwy. 109 and I-44, Sanders added.<br />

“Winter Brothers proposes adding up to<br />

20 to 25 trucks per hour to this intersection,”<br />

he said. “Included in the traffic are<br />

the school buses for seven schools, twice<br />

daily. This presents a major traffic danger.”<br />

Sanders said his understanding of the<br />

Winter Brothers proposal to MoDOT shortens<br />

the median at the left turn from westbound<br />

I-44 onto southbound Hwy. 109.<br />

“This makes the turn easier but shortens the<br />

distance to the next left turn to get back on<br />

to 44 going eastbound,” Sanders said. “This<br />

area on southbound 109 under Hwy. 44 is<br />

the area that is so tight and the traffic stacks<br />

there too easily. Increasing the length of the<br />

entrance of Williams Road onto eastbound<br />

44 is a reasonable change. We still worry<br />

about acceleration of the trucks uphill from<br />

109 on to eastbound 44 and, just after that,<br />

decelerating onto the Williams Road exit.”<br />

On May 26, Wildwood’s City Council<br />

voted unanimously to have a city representative<br />

attend the public hearing and oppose<br />

the conditional use request.<br />

“We need to oppose the granting of this<br />

permit at least until the issue can be further<br />

studied,” Wildwood Councilmember Jim<br />

Bowlin (Ward 6) told the council.<br />

Wildwood Councilmember David Sewell<br />

(Ward 6) said he feared that if silica extraction<br />

becomes part of the Winter Brothers operation<br />

there could be health concerns from putting<br />

the fine-grained material into the air.<br />

“They’re saying this could add maybe<br />

five jobs – big whoop,” Sewell said.<br />

Wildwood Mayor Tim Woerther suggested<br />

city officials reach out to County Councilman<br />

Mark Harder (R-Dist. 7) and County Executive<br />

Steve Stenger to voice their concerns.<br />

“But it’s imperative we be on the record<br />

at that public hearing as being against this<br />

until further study is done,” Bowlin said.<br />

During public comment that night, Bill<br />

Kennedy, of Rockwood Forest Ridge near<br />

southern Eureka, asked whether Wildwood<br />

officials “are going to ignore the question<br />

or stay silent or do some detailed research<br />

on a threat that could impact residents.<br />

“It’s important for you to reassure and<br />

advise residents who are becoming increasingly<br />

more concerned about this plan,” Kennedy<br />

told the council.<br />

Additional information on the St. Louis<br />

County proposal is on the county’s website<br />

under Winter Brothers Company CUP request<br />

(www.stlouisco.com/PropertyandRoads/PlanningZoningandSubdivisionInformation).

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