Option 1 - Election to Proceed to Statistical Sampling for

8.2.3.3.4 - Option 1 - Election to Proceed to Statistical Sampling for Overpayment Estimation (Rev. 10228; Issued: 07-27-20; Effective: 08-27-20; Implementation: 08-27-20) If a provider or supplier fails to respond, this option shall be selected by default. For providers or suppliers who select this option knowingly or by default, thereby rejecting the consent settlement offer and retaining their full appeal rights, UPICs and the contractor medical review units shall: • Notify the provider or supplier of the actual overpayment and refer to overpayment recoupment staff; and • Initiate statistical sampling for overpayment estimation of the provider's or supplier’s claims for the service under review following instructions in the Program Integrity Manual, chapter 8, §8.4 If the review results in a decision to recoup the overpayment, the overpayment collection shall be initiated within 12 months of the decision.