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welcome to this dme on demand presentation for assignment agreement when billing claims to medicare the information given in this training is correct as of november 2021 the most current information related to this topic can be found on the noridian dme website at the link listed on the slide an assignment agreement is between a supplier of services and a medicare beneficiary the option of accepting assignment belongs solely to the supplier when the supplier accepts assignment they are bound by law to accept the medicare administrative contractors or max determination of the approved amount as the full fee for the service rendered they may not bill or accept payment for the amount of the reduced charges however an attempt must be made to collect 20 percent of the approved charge which is the coinsurance any amount applied to the deductible and any non-covered charges subject to the limitation on liability provisions assignment is a written agreement between beneficiaries their physicia