Extended Repayment Schedules (ERS) and Appealing an

200.2.6 - Extended Repayment Schedules (ERS) and Appealing an Overpayment Subject to Limitation on Recoupment (Rev. 12261; Issued: 09-22-23; Effective: 12-11-23; Implementation: 12-11-23) If a provider, physician or other suppliers has been granted an extended repayment schedule (ERS) and submitted a valid and timely request for a redetermination or reconsideration to the Medicare contractor, the provider or other supplier will not be considered in default if payments were not made by the provider. The appeal would supersede the ERS agreement; (under normal circumstances this would have been put on withhold due to default of payment). The contractor shall send a notice to the provider explaining if they do not resume its ERS payments they may be placed on recoupment when there is no appeal status in place according to IOM 100.6 chapter 4 §50. Payments made by a provider under an ERS are not recoupments for the limitation provision and are not subject to 935 interest if reversed at the ALJ appeal or above. However, if a provider defaults on the ERS schedule and recoupment begins before a valid and timely request has been received, those recoupments are subject to payment of interest under the 935 interest requirements. For additional information on the Filing timeframes or instructions on Extended Repayment Schedules refer to Chapter 4 §50.