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This DME on Demand presentation provides an overview of the assignment agreement for billing claims to Medicare, with information current as of November 2021. For the latest details, viewers are directed to the Noridian DME website. An assignment agreement is a contract between service suppliers and Medicare beneficiaries, and the choice to accept assignment rests solely with the supplier. Once accepted, suppliers must adhere to the Medicare Administrative Contractors' (MAC) approved amount as full payment and cannot bill for reduced charges. Suppliers are required to collect 20% of the approved charge as coinsurance, along with any deductible amounts and non-covered charges, in accordance with limitation on liability provisions.