Review of Medicare Contractor's Pension Segmentation Requirements for the Durable Medical Equipment Regional Carrier Segment at HealthNow New York, Inc., a Terminated Medicare Contractor, for the Period January 1, 2002, to January 1, 2007

摘要

Beginning with fiscal year 1988, CMS incorporated segmentation requirements into the Medicare contracts to ensure conformance with CAS 413. The Medicare contracts define a segment and specify the methodology for the identification and initial allocation of pension assets to the segment. Additionally, the contracts require Medicare segment assets to be updated for each year after the initial allocation in accordance with CAS 412 and 413. Upon the termination of its DMERC Medicare contracts, HealthNow identified Medicares share of the DMERC Medicare segment excess pension liabilities to be $203,556. Our objective was to determine whether HealthNow complied with Federal requirements and the Medicare contracts pension segmentation requirements when: identifying the DMERC Medicare segments initial asset base, updating the DMERC Medicare segments pension assets from January 1, 2002, to January 1, 2007; and determining Medicares share of the DMERC Medicare segment excess pension assets/liabilities as a result of the termination of the DMERC Medicare contracts.