Chasing Ambulance Stories

On Tuesday, the City of Richardson issued this press release:

Richardson Among Several Texas Cities Settling Dispute Concerning Medicare/Medicaid

(Richardson, TX) -- The City of Richardson is one of many Texas cities that contracted with Southwest General Services of Dallas, L.L.C. (SGS) to perform all aspects of ambulance billing services. SGS was selected based on its substantial experience and expertise in Medicare and Medicaid billing and compliance with state and federal laws, and those representations and obligations were included in Richardson's contract for services.

In 2006, SGS failed to incorporate changes in its billing methodology to comply with new federal rules regarding the standards for ambulance transport charges for Medicare and Medicaid reimbursement. The failure to change the billing method resulted in Medicare and Medicaid being over charged for some services. Billing for all other ambulance transports was not affected.

The City has reached a settlement agreement in the amount of $160,979.56 with the U.S. Attorney's Office to release the City from any claims arising from the failure of SGS to properly bill for services. Although Richardson disputes responsibility for any penalties, a settlement of the matter will avoid further defense expenses and exposure to higher damages and penalties.

The City has also put SGS and the contractor's insurance company on notice that the City's rights under contract indemnify the City from all claims arising out of SGS's performance of the contract and from any violation by SGS of federal, state, and local laws, ordinances, regulations and policies. The City also put SGS on notice that it will seek full restitution of damages that have come as a result of improper billing practices.

After the jump, interpreting the doctor's handwriting.

No Backsliding on Transparency

In the 2009-2011 City Council term, Richardson took some significant steps towards improved transparency -- televising council meetings, posting checkbook register online, passing a code of ethics.

After the jump, how's that holding up?

Redistricting Musical Chairs

Every ten years, the whole country plays a game of musical chairs called redistricting. Congressmen, state senators and representatives, county commissioners, even city council members have to play the game. Depending on where the new lines are drawn, your future as an elected official could be enhanced or jeopardized.

State Representatives Angie Chen Button and Stefani Carter, State Senator John Carona, and Congressman Pete Sessions all look like they'll be able to hold their seats as long as they want because their redistricting is in friendly hands. Ambition might lead Carter to give up her seat sometime in the future when opportunity presents itself. Chen Button is more likely to stay put. Carona was once rumored to be interested in running for Dallas Mayor, but that obviously didn't happen. Sessions looks comfortable in Congress and has no other prospects on the horizon (with the possible exception of Vegas casino greeter, but that's down the road a bit).

There does appear to be one musical chair newly available, which caused one Dallas County Commissioner Tuesday to flip out. After the jump, how the game is played in the Dallas County Commissioners Court.

Chicago Expects to Feel Like Baton Rouge

A funny thing happened on the way to a world changed by global warming. While the environmentalists who seek to reduce greenhouse gas emissions are just as convinced as ever about the seriousness of the problem, and the climate deniers are just as determined as ever to stop them, there's a third group that is quietly at work, mostly out of the spotlight, trying to adapt to the reality of climate change.

"Cities adapt or they go away. Climate change is happening in both real and dramatic ways, but also in slow, pervasive ways. We can handle it, but we do need to acknowledge it. We are on a 50-year cycle, but we need to get going."
-- Aaron N. Durnbaugh, deputy commissioner of Chicago's Department of Environment

That's from an article in The New York Times describing Chicago's attitude towards the need to adapt.

After the jump, what adaptation looks like.

Does Richardson Need Term Limits?

If you said to yourself, doesn't Richardson already have term limits, then congratulations. It was a trick question. The Richardson City Charter was amended in 2007 to include term limits for City Council members.

3.01 (b). "No person elected or appointed to the city council at the May 2009 city officer election or thereafter, shall serve as a member of the city council in any place for more than six (6) consecutive terms until at least one full term shall have elapsed from the expiration of such person's last term of office."

So, why would I even raise this question? The answer, after the jump.

Coterie Pajama Party

From 2011 06 Coterie Pajama Party

"Coterie" is an organization of Richardson-area friends who get together three times a year for dinner and entertainment. The theme and activity for each occasion varies. The June 2011 Coterie party was a Pajama Party with Karaoke entertainment.

For a slide show of the evening, click here.

OTBR: On a Qatar Sand Dune

Latitude: 24.9029 N
Longitude: 51.5220 E

A child on a road trip with his family asks, "Where are we?" and the father answers, "Let's check the map. We're off the blue roads [the Interstate Highways marked in blue on the road atlas]. We're off the red roads [the US and state highways]. We're off the black roads [the county highways]. I think we're off the map altogether." It was always my dream to be off the map altogether.

After the jump, a few of the random places (and I mean random literally) that I visited vicariously last month that are "off the blue roads".