Uth

All-Payor索赔数据库(APCD)

Uthealth School of Public Health has been named as Administrator for Texas APCD. The following links will provide guidance on registering and submitting data.

关于德克萨斯州所有付款人索赔数据库

作为德克萨斯APCD的管理员卫生保健数据中心(CHCD)shall collect, process, analyze and store data relating to medical, dental, pharmaceutical, and other relevant health care claims and encounters, enrollment and benefit information for the purposes of increasing transparency of health care costs, reporting utilization and access, improving the affordability, availability and quality of health care and improving population health. The CHCD was chosen based on the Center’s experience and expertise in using data to guide improvements in healthcare policy and delivery. Furthermore, as evidenced by its designation by the Center for Medicare & Medicaid as a Qualified Entity, the CHCD has implemented sophisticated systems and policies to secure and protect the data entrusted to it.

TX APCD将使用数据提供公共信息为了制作全州,区域和地理拉链消费者报告,应通过公共访问门户提供:地址:

(a)医疗保健成本,质量,利用,结果和差异;

(b)人口健康;或者

(c)医疗服务的可用性。

APCD应为resource for qualified research entities可能会通过分析国家提供医疗保健的目的,从而获得有关公共利益研究的数据的访beplay苹果手机能用吗问权限

The得克萨斯州保险局oversees the APCD. It sets the requirements for insurance companies to provide data and for the beneficial and ethical use of the data. The APCD is required to convene a利益相关者咨询小组to provide advice and counsel on the use of the data. The Group is composed of representatives from healthcare providers, health insurers, researchers, public policy experts and others

Texas APCD Legislation
德克萨斯州保险局(TDI)规则

实体注册

所有要求根据得克萨斯州APCD法律和得克萨斯州保险部(TDI)规则提交数据的实体,最初需要注册才能进入提交过程。

See通知注册日期:

在提交异常或扩展请求之前,需要收到,处理和主动注册。

请将所有完整的表格发送给txapcd@uth.tmc.edu。收到注册后,UTHealth将提供有关如何以及何时提交数据的说明。

Technical Guides

Texas APCD将使用APCD-CDL版本2.1标准的修改版本APCD理事会。Common Data Layout © 2022 University of New Hampshire, NAHDO. Used with permission.

有关如何提交数据文件的技术指南,请参考以下内容:

  • 数据提交指南(DSG):PDF|Errata
  • 通用数据布局(CDL):PDF|Excel
  • Technical Guide:PDF

请通过电子邮件将技术问题发送给txapcd@uth.tmc.edu

利益相关者咨询小组

Texas’ APCD law includes the creation of a stakeholder advisory group to assist in establishing and updating the standards, requirements, policies, and procedures relating to the collection and use of data, evaluating and prioritizing reporting, evaluating data requests and developing recommendations.

  • 利益相关者咨询小组阵容:名册
  • 利益相关者咨询小组宪章:宪章

If interested in serving as a future member of the stakeholder advisory group, please send an email totxapcd@uth.tmc.edu


利益相关者咨询小组 - 会议信息

下一个会议日期:TBD

议程:TBD

公众可以要求开会邀请通过发送电子邮件给txapcd@uth.tmc.edu。Meeting details will be provided the day before the meeting via email.


Previous Meeting Documents:

APCD通知

As Administrator for the Texas APCD, the Center for Health Care Data (CHCD) will use this forum to provide notifications for upcoming changes relevant to the submission of data to the APCD. For any clarifications or questions, please emailtxapcd@uth.tmc.edu

下表提供了所需的通知,如TAC§§21.5401-21.5406中发布。一旦提供了特定阶段的通知,APCD阶段开始日期将管理该阶段的最早提交日期。APCD阶段启动日期可能比规则中发布的日期发生在或更晚。

要求法律通知:登记|测试数据|每月|历史

阶段 通知
日期
RULE NOTICE
(天)

最早的规则
开始日期

APCD阶段
开始日期

登记 07/11/22 90 NA 10/10/22
TEST DATA SUBMISSIONS 07/11/22 90 10/01/22 10/10/22
历史数据提交 12/01/22 120 01/01/23 04/03/23[2]
每月数据提交 09/01/22 180 03/01/23 03/01/23[1]

[1]Reference Section 1.6 Data Submission Schedules in the数据提交指南(DSG)和28TAC§21.5405。第一个每月提交数据文件将包含裁定的索赔数据2022年11月。所有每月提交的提交应由7Thof the month.

[2]All historical files should be submitted no later thanJune 30, 2023and to include claims data from2019年1月至2022年10月;或提交给TX-APCD的第一个每月数据提交。预期的第一个每月数据提交将是2022年11月在三月每月提交期间提供的数据。每个历史文件提交仅应包含一个月的数据期,并且可以按任何年度订单提交。

Frequently Asked Questions (FAQs)

卫生保健数据中心(CHCD)收到了许多有关注册,测试数据提交以及技术指南的可用性。下面的文档中提供了最常见和回答的问题。与往常一样,应将其他问题引向txapcd@uth.tmc.edu

11/07/2022-FAQs

11/30/2022 -November提交者论坛:Presentation|Q&A

12/19/2022-十二月提交者论坛:Presentation|Q&A

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