EXHIBIT 32.1

                    CERTIFICATION OF CHIEF EXECUTIVE OFFICER
                                   PURSUANT TO
                             18 U.S.C. SECTION 1350,
                             AS ADOPTED PURSUANT TO
                  SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

I, Philip M. Pead, the Chairman, President and Chief Executive Officer of Per-Se
Technologies, Inc. (the "Company"), in compliance with 18 U.S.C. Section 1350,
as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, hereby
certify that the Company's Quarterly Report on Form 10-Q for the period ended
March 31, 2006, filed with the Securities and Exchange Commission: (i) fully
complies with the requirements of Section 13(a) or 15(d) of the Securities
Exchange Act of 1934; and (ii) the information contained in such Quarterly
Report fairly presents, in all material respects, the financial condition and
results of operations of the Company.

                            By:  /s/ PHILIP M. PEAD
                                 -----------------------------------------------
                            Philip M. Pead
                            Chairman, President and Chief Executive Officer

Date: May 10, 2006