Medicare Financial Management Manual (Pub. 100-06), Ch. 4 § 50.5
Monitoring an Approved Extended Repayment Schedule (ERS) and Reporting Requirements
50.5 - Monitoring an Approved Extended Repayment Schedule (ERS) and Reporting Requirements
(Rev. 12346; Issued:11-01-23; Effective:10-30-23; Implementation:10-30-23)
MACs have access to the CMS HIGLAS ERS Activity dashboard/report in HIGLAS Business
Intelligence (HBI) using the BI Update AR User Responsibility. This report has a comprehensive view of
the ERS portfolio by each MAC jurisdiction. It also helps identify at risk ERS which are delinquent or in
default status by showing risk criteria such as provider average billing and provider non-ERS debt
balances. The data is refreshed daily each morning. MACs can view/search specific ERS data as well as
export the record(s) as required. MACs shall continue to verify the Program Integrity checks in PECOS
and with CPI staff, such as, Terminated/Revoked statuses, before approving an ERS request.
MACs shall provide ERS status updates to CMS upon request using this activity report.