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2 <br />Under the proposed process, the County Manager, or designee, would be delegated authority <br />by the Board to receive the review and recommendation of the Emergency Services Director <br />and /or Revenue Director, and make a final decision on whether a bill for emergency medical <br />services should be voided. <br />The specifics of the proposal are contained in the attachment. If approved by the Board, Staff <br />will begin immediate implementation of the process. <br />FINANCIAL IMPACT: <br />Management decisions, under authority delegated by the Board, to void patient bills would <br />impact total revenues received for by the County for Emergency Medical Services rendered. <br />However, Departmental experience indicates only a small number of cases have occurred in the <br />past decade that would have amounted to less than $5,000. <br />RECOMMENDATION(S): The Interim Manager recommends the Board approve the proposed <br />Emergency Medical Charge Review Process. <br />