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<br />Balance Billing is the practice of charging a Medicare beneficiary more than the <br />difference between the amount provided by Medicare and the provider's actual charge. <br /> <br />Certification means that which meets the requirements of the Texas Department of State <br />Health Services. <br /> <br />Chief EMS Officer means the chief of emergency medical services of the City of La Porte <br />or his duly authorized representative. <br /> <br />City means the City of La Porte, Texas <br /> <br />City Council means the City of La Porte, Texas, City Council. <br /> <br />Drivers License means the license issued by the Department of Public Safety, State of <br />Texas. <br /> <br />Emergency means any circumstance that calls for immediate response (emergency lights <br />and/or siren) in which the essential element of time in transporting the sick, wounded or injured <br />for medical treatment is essential to the health or life of the person. Said circumstances include, <br />but are not limited to, accidents generally, traffic accidents, acts of violence resulting in personal <br />injury and sudden illness. <br /> <br />Emergency Call means any request for ambulance service that is made by telephone or <br />other means of communication in circumstances which are, or have been represented to be, an <br />emergency requiring immediate ambulance service. <br /> <br />Emergency Medical Technician ("EMT'')- Paramedic: an individual having special, <br />well-defined skills and knowledge in emergency medicine, who has training to provide pre- <br />hospital emergency medical treatment at an advanced level and is certified or licensed by the <br />Texas Department of State Health Services in accordance with the current EMT -paramedic <br />National standards curriculum. <br /> <br />Emergency Medical Service ("EMS"): means the City of La Porte Emergency Medical <br />Service, City of La Porte, Texas. <br /> <br />Emergency Medical Technician means any person currently registered by the Texas <br />Department of State Health Services as an EMT, EMT-intermediate, and/or EMT-paramedic. <br /> <br />Emergency Run means the emergency ambulance trip to the place where the emergency <br />exists or from the place of such emergency to the emergency room of a receiving hospital. <br /> <br />License means a license or permit issued by the City of La Porte Emergency Medical <br />Services pursuant to this Chapter. <br /> <br />Loaded Miles: see "Mileage". <br /> <br />Mayor means the Mayor of La Porte, Texas <br />