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

A physician who accepts Medicare assignment agrees to:

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

Why A is correct

A participating provider who accepts Medicare assignment agrees to accept the Medicare-approved amount as payment in full for covered services, billing the beneficiary only for the applicable deductible and coinsurance. Non-assignment providers may charge more than the approved amount, and the beneficiary can be liable for the difference. The assignment versus non-assignment distinction is expressly tested under AH-III.D.1h. Assignment protects beneficiaries from balance billing by limiting their liability to the Medicare cost-sharing amounts.

Why the other options are wrong

  • B) Providers, not beneficiaries, submit claims, and assignment providers do not bill the full amount.
  • C) Charging more than the approved amount is the hallmark of non-assignment providers.
  • D) Assignment is about accepting Medicare's payment terms, not restricting how the patient pays.

Memory hook

Assignment = the Medicare-approved amount is payment in full.

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