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Medical ExpenseVerified · outline & fact-checked · Sep 2026Difficulty 2/5

A physician who accepts assignment under Medicare agrees to:

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Answer & full 3-part explanation (select an option above, or peek)

Why A is correct

Assignment is the agreement by a provider to accept the Medicare-approved amount as full payment for a service. The provider bills Medicare and may collect only the beneficiary's applicable deductible and coinsurance. A participating provider accepts assignment for all Medicare services; a non-participating provider may decline assignment on some claims and then may balance-bill, subject to the limiting charge. This distinction is tested under the Medicare claims and payment objectives.

Why the other options are wrong

  • B) Balance billing above the approved amount beyond the permitted limits is exactly what assignment prevents; accepting assignment means taking the approved amount as full payment.
  • C) Assignment applies to Original Medicare fee-for-service claims, not to provider contracts within Medicare Advantage networks.
  • D) Assignment is a payment agreement, not a mechanism for waiving cost-sharing; that is handled by Medi-Cal or cost-sharing assistance programs.

Memory hook

Assignment = the provider takes Medicare's approved price as the whole bill, plus only your deductible and coinsurance.

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