STATUTORY/REGULATORY REPORTING ISSUES in Visual Studio .NET

Printing QR-Code in Visual Studio .NET STATUTORY/REGULATORY REPORTING ISSUES
366 STATUTORY/REGULATORY REPORTING ISSUES
Reading QR Code 2d Barcode In VS .NET
Using Barcode Control SDK for .NET framework Control to generate, create, read, scan barcode image in VS .NET applications.
(a) STATUTORY FINANCIAL STATEMENTS Increasingly, HMOs and provider-sponsored networks are coming under regulation by state departments of insurance Generally speaking, regulated insurers are required by their state of domicile to submit annually a set of audited nancial statements that are prepared using that state s prescribed regulatory accounting principles ( statutory nancial statements ) In 1999, the National Association of Insurance Commissioners completed a process to codify statutory accounting practices (SAP) for managed care organizations, resulting in a revised Accounting Practices and Procedures Manual Nine of the Statements of Statutory Accounting Principles (SSAPs) included in the Manual have been speci cally modi ed or written to address issues related to managed care These include SSAP No 25, Accounting for and Disclosures about Transactions with Af liates and Other Related Parties, No 35, Guaranty Fund and Other Assessments, No 47, Uninsured Plans, No 50, Classi cations and De nitions of Insurance or Managed Care Contracts in Force, No 54, Individual and Group Accident and Health Contracts, No 55, Unpaid Claims, Losses and Loss Adjustment Expenses, No 66, Retrospectively Rated Insurance Contracts, No 73, Health Care Delivery Assets Supplies, Pharmaceuticals and Surgical Supplies, Durable Medical Equipment, Furniture, Medical Equipment and Fixtures, and Leasehold Improvements in Health Care Facilities, and No 84, Health Care Receivables All other SSAPs should be considered that are applicable to the particular managed care entity The Manual is updated annually to re ect revisions or additions to SAP It is expected that most states will require insurers to comply with most, if not all, provisions of the Manual States may adopt the Manual in whole, or in part, as an element of prescribed SAP in those states If, however, the requirements of state laws, regulations, and administrative rules differ from guidance provided in the Manual, those state laws, regulations, and administrative rules preempt the guidance in the Manual (b) RISK-BASED CAPITAL FOR MANAGED CARE ORGANIZATIONS State laws generally require insurers to maintain minimum levels of capital or surplus The NAIC has implemented a risk-based capital (RBC) formula for managed care organizations under which affected managed care organizations must calculate and report to regulators its capital requirement and total adjusted capital There are ve principal elements to the RBC formula: af liated investment risk, asset risk,
QR Code JIS X 0510 Generator In Visual Studio .NET
Using Barcode printer for Visual Studio .NET Control to generate, create QR Code image in .NET applications.
367 SOURCES AND SUGGESTED REFERENCES
Decoding QR-Code In VS .NET
Using Barcode recognizer for .NET framework Control to read, scan read, scan image in .NET applications.
36 55
Printing Bar Code In .NET
Using Barcode creator for Visual Studio .NET Control to generate, create barcode image in .NET applications.
underwriting risk, credit risk, and general business risk Four action levels (in order of increasingly stringent level of regulatory response) are: company action level, regulatory action level, authorized control level, and mandatory control level At a minimum, the company action-level event requires the ling of an RBC plan that details conditions leading to the event and proposals of corrective action with the state insurance commissioner (c) OFFICE OF MANAGEMENT AND BUDGET CIRCULAR A-133 HCOs that receive nancial assistance from a governmental agency may be subject to audit requirements in accordance with the Single Audit Act of 1996 and Of ce of Management and Budget (OMB) Circular A-133, Audits of Institutions of Higher Education and Other Nonpro t Organizations Financial assistance may take the form of grants, contracts, loans, loan guarantees, property, cooperative agreements, interest subsidies, and insurance or direct appropriations
Bar Code Scanner In .NET
Using Barcode reader for .NET Control to read, scan read, scan image in VS .NET applications.
367 SOURCES AND SUGGESTED REFERENCES
QR Creator In Visual C#
Using Barcode generation for .NET Control to generate, create QR image in VS .NET applications.
American Institute of Certi ed Public Accountants, Health Care Organizations, Industry Audit and Accounting Guide New York, 1996 , Checklists and Illustrative Financial Statements for Health Care Organizations, 1996 , Providers of Health Care Services (Section 6400) Technical Practice Aids, 1997 Healthcare Financial Management Association, (P&P Board Statements and Issue Analyses are available from HFMA at 1-800 252-4362, ext 420) Accounting and Reporting for Agency Relationships, Principles and Practices Board Statement No 5 Westchester, IL, 1983 , Accounting and Reporting by Institutional Health Care Providers for Risk Contracts, Principles and Practices Board Statement No 11, 1989 , Valuation and Financial Statement Presentation of Charity Service and Bad Debts by Institutional Health Care Providers Principles and Practices Board Statement No 15, 1993 , Classifying, Valuing, and Analyzing Accounts Receivable Related to Patient Services Principles and Practices Board Statement No 16, 1993 , Assessments and Arrangements Similar to Taxes on Tax-Exempt Institutional Health Care Providers, Principles and Practices Board Statement No 17, 1994 , Public Disclosure of Financial and Operating Information by Health Care Providers, Principles and Practices Board Statement No 18, 1994 , Transactions Among Af liated Entities Comprising an Integrated Delivery System, Principles and Practices Board Statement No 19, 1995 , Healthcare Mergers, Acquisitions, and Collaborations, Principles and Practices Board Statement No 20, 1997 , Acquisitions of Physician Practices, Principles and Practices Board Issue Analysis No 95-1, 1995 , Assessing Managed Care Contracting Risk, Principles and Practices Board Issue Analysis No 97-1, 1997 Financial Accounting Standards Board, Application of FASB Statement No 94, Consolidation of All MajorityOwned Subsidiaries, and APB Opinion No 16, Business Combinations, to Physician Practice Management Entities and Certain Other Entities with Contractual Management Arrangements, EITF Issue No 97-2 Norwalk, CT, 1997 , Accounting for Contributions Received and Contributions Made, Statement of Financial Accounting Standards No 116, 1993 , Financial Statements of Not-for-Pro t Organizations, Statement of Financial Accounting Standards No 117, 1993 , Accounting for Certain Investments Held by Not-for-Pro t Organizations, Statement of Financial Accounting Standards No 124, 1995
QR Drawer In .NET
Using Barcode generator for ASP.NET Control to generate, create QR Code JIS X 0510 image in ASP.NET applications.
Creating QR-Code In VB.NET
Using Barcode encoder for .NET Control to generate, create QR Code ISO/IEC18004 image in Visual Studio .NET applications.
Barcode Drawer In .NET
Using Barcode printer for .NET Control to generate, create barcode image in Visual Studio .NET applications.
Generate EAN8 In VS .NET
Using Barcode encoder for Visual Studio .NET Control to generate, create European Article Number 8 image in VS .NET applications.
Bar Code Creation In VS .NET
Using Barcode encoder for ASP.NET Control to generate, create barcode image in ASP.NET applications.
Scanning Code 39 Extended In Visual Studio .NET
Using Barcode decoder for .NET framework Control to read, scan read, scan image in .NET applications.
UCC - 12 Printer In Java
Using Barcode encoder for Java Control to generate, create UPC Code image in Java applications.
Generating GTIN - 13 In C#
Using Barcode drawer for Visual Studio .NET Control to generate, create EAN 13 image in .NET framework applications.