An Extended Repayment Schedule (ERS) can be requested if the debt cannot be paid in full. Follow instructions outlined in the Sole proprietor or Corporation/group ERS forms below and return the required documentation.  Once a completed ERS has been received, a 30 percent withholding of claim payments will begin, and the withholding will continue until the review has been completed. The original documents must be mailed with the payment. Once approved, all ERS payments will be recouped from the provider’s future Medicare payments according to the approved amortization schedule, unless it has been determined that there is a valid reason for the provider to send a check.

• Sole proprietor ERS form
• Corporation/group ERS form 

Reference

https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/fin106c04.pdf