What does a Fiscal Intermediary do in the context of Medicare and Medicaid services?

A Fiscal Intermediary plays a crucial role in the Medicare and Medicaid services by determining and processing claims for eligible services. This organization acts as a liaison between healthcare providers and the government, ensuring that claims for reimbursement are correctly evaluated according to the regulations established for these programs.

By handling claims, the Fiscal Intermediary ensures that healthcare providers receive payment for services rendered to beneficiaries and facilitates the reimbursement process, which helps maintain the financial health of healthcare institutions. Their responsibilities may also include conducting audits to ensure compliance with Medicare and Medicaid regulations and providing assistance to providers in understanding the billing process.

The other choices do not align with the specific duties of a Fiscal Intermediary. While direct patient care services, licensing of healthcare professionals, and managing hospital human resources are essential aspects of the healthcare ecosystem, they fall outside the scope of what a Fiscal Intermediary is designed to do within the Medicare and Medicaid framework.