Overpayments are Medicare funds a provider, physician, supplier or beneficiary has received in excess of amounts due and payable by Medicare. Once a determination of overpayment has been made, the amount is a debt owed to the United States Government. Overpayments must be repaid as quickly as possible.
If the total overpayment cannot be repaid within 30 days after receiving the first demand letter, you should request an extended repayment plan (ERP) immediately, unless you want the overpayment to offset against pending claims. A written request must be submitted that refers to the specific overpayment. The request must detail the number of months requested, indicate the monthly payment amount, and include the first payment.
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You must explain and document your need for an ERP.
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A repayment plan may be established to recover all, or part of an overpayment.
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Any approved ERP will run from the date of the initial demand letter.
To apply for an ERP, you must complete the by clicking below and then mail the form and all your documentation to the address listed on the form. Sole proprietors will also need to complete and mail the CMS 379 - Financial Statement of Debtor.
All of the requested information must be submitted before the overpayment can be removed from withholding. If an incomplete request is submitted, the recoupment of the overpayment will continue until the request is completed or the overpayment is fully recouped.