ພາບລວມ​​ 

ພະແນກບໍລິການການດູແລສຸຂະພາບ (DHCS) ໄດ້ຖືກມອບໝາຍໃຫ້ເກັບກຳ ແລະ ລາຍງານການຮຽກຮ້ອງ ແລະ ການພົບພໍ້ຂອງຄາລິຟໍເນຍ Medicaid (Medi-Cal), ບໍ່ວ່າຈະຖືກສົ່ງເຂົ້າເປັນສ່ວນໜຶ່ງຂອງຄ່າບໍລິການ ຫຼື ການຈັດການການດູແລທີ່ມີສັນຍາ. ຫຼາຍລະບົບພາຍໃນ DHCS ສະຫນັບສະຫນູນການເຮັດວຽກທີ່ຈໍາເປັນນີ້.​​ 

One such system is the Post Adjudicated Claims & Encounters System (PACES). PACES plays a vital role in the collection of encounter and provider network data from Medi-Cal’s numerous managed care plans. PACES accepts encounter transactions from both medical and dental managed care plans and also accepts encounter-related pharmacy transactions. The information PACES gathers is stored in the DHCS data warehouse (MIS/DSS), where it can be used by many downstream applications within the State.​​ 

PACES ສະກັດ, ການຫັນປ່ຽນ, ແລະການປະຕິຮູບພົບຂໍ້ມູນທີ່ຖືກສົ່ງໃນຮູບແບບ ASC X12 837 ແລະ NCPDP. ປະຈຸບັນລະບົບນີ້ຮອງຮັບທຸລະກຳການອ້າງສິດ/ການປະເຊີນໜ້າກັບ ASC X12 837I, 837P ແລະ 837D ເຊັ່ນດຽວກັນກັບທຸລະກຳຮ້ານຂາຍຢາ NCPDP 2.2 & 4.2.​​ 

PACES replaces the long-standing DHCS Paid Claims and Encounters (PCES) system. The new system is designed to ensure that all available claim and encounter data is retained and available for downstream analysis. The PACES system stores and distributes a richer, more complete data set than was possible using PCES. The goal of PACES is to enforce DHCS’s data quality requirements while also abiding by federal HIPAA transaction standards.​​ 

Various DHCS program areas, such as the Encounter Data Quality Unit (EDQU), use PACES’s reporting capabilities in order to analyze encounter data on a regular basis. This heightened ability to monitor managed care and other encounters supports DHCS initiatives that strive to improve the overall health, and health coverage, of Californians.​​ 

PACES ຍັງສະຫນັບສະຫນູນການສາທິດ Cal MediConnect, ເຊິ່ງເປັນສ່ວນຫນຶ່ງຂອງການລິເລີ່ມການດູແລແບບປະສານງານທີ່ໃຫຍ່ກວ່າ.​​ 

ຊັບພະຍາກອນ / ການເຊື່ອມຕໍ່​​ 

• PACES ວັນທີນຳໃຊ້​​ 
• PACES ວັນທີບໍາລຸງຮັກສາເຄືອຂ່າຍ​​