Who is a fiscal intermediary in healthcare?

A fiscal intermediary in healthcare serves as a processing agent for claims and financial transactions, often managing the relationships between providers of healthcare services and payer organizations, such as insurers or government programs.

In this context, the role of an insurance company managing Medicare fits perfectly because it oversees the financial aspects of Medicare claims, ensuring that providers are reimbursed for the services they render to patients covered under Medicare. This includes processing invoices, adjudicating claims, and ensuring compliance with regulations. Their function is pivotal in maintaining the financial flow between healthcare providers and the healthcare system.

The other choices do not represent the role of a fiscal intermediary. A physician providing consultations is involved in direct patient care, a patient receiving treatment is the recipient of healthcare services, and a service performing surgeries directly engages in clinical activities rather than managing financial transactions or claims.