PAIN MEDICINE
An EMR Built Around the Image-Guided Procedure and the Controlled-Substance Record
GlaceEMR finishes the injection note by level and laterality, runs the PDMP review inside the prescribing moment, and drops a claim with the modifier mix interventional pain pays on. Billed at a percentage of collections with no base fees, backed by 95%+ first-pass adjudication and 99%+ collection of payer-allowed amounts*.
*Of payer-allowed amounts.
WHAT WE HEAR FROM PAIN PHYSICIANS
You Carry Two Heavy Burdens at Once
A fluoroscopy suite runs in one room and a controlled-substance practice runs in the next, and the EMR most pain practices use was built for neither. Four pains come up in the first thirty minutes of almost every discovery call.
The injection note is a denial waiting to happen
A transforaminal ESI pays when level, laterality, guidance, contrast, and time-out are discrete data. In free text, a $1,200 procedure gets downcoded to a $250 visit or denied.
Controlled-substance prescribing eats your day
EPCS, MFA, a PDMP query, a UDS reconciliation, an opioid agreement, an MME calculation, a naloxone decision. On most platforms those are seven tabs, and the audit trail lives in five places at once.
Procedure billing has unforgiving rules
Bilateral and laterality modifiers, the multi-level rules on 64483, the facet cap, NCCI bundling between the diagnostic block and the RFA, the -25 on the same-day E/M. The wrong combination cuts the claim, and generalist billers miss it.
Prior auth and workers comp bleed cash
The repeat ESI, the SCS trial, and the pump refill each need a packet. Workers-comp and personal-injury run on different fee schedules most platforms treat as commercial, so the AR ages past collectibility.
GLACEEMR FOR PAIN MEDICINE
A Chart Built Around the Procedure and the Controlled-Substance Record
GlaceEMR is ONC-certified and has run in private interventional pain practices for years, with 30+ years of company history behind it. The pain-medicine configuration is wired in before training starts, so the chart your team opens on day one already knows the procedures, the controlled-substance workflow, and the documentation a defensible pain record demands. Every capability below ships today, not as a roadmap promise.
Procedure notes by level, laterality, and guidance
Templates for ESI, facet and medial-branch block, RFA, SI-joint injection, trigger-point injection, and peripheral nerve blocks capture level, laterality, guidance, contrast, medication, concentration, needle gauge, and time-out as discrete fields. The note your MA finishes in the room is the note your biller drops with the right modifier mix.
EPCS with PDMP inside the prescribing moment
Surescripts EPCS with Id.me identity proofing and MFA on every controlled script. The state PDMP query runs in the prescribing window, not a separate tab, and the review documents into the controlled-substance audit trail attached to the script, the agreement, and the latest UDS. MME thresholds, naloxone prompts, and interaction checks fire at the point of order.
Structured UDS reconciliation and MME flowsheet
UDS results flow back through the lab interface into a structured field, and the Lab Interpreter reconciles the observed result against the expected regimen. Unexpected findings flag the chart for review. The MME flowsheet trends total daily morphine-milligram equivalents across visits and flags the threshold cross in real time.
Opioid stewardship and taper workflows
The MME calculator runs against the active regimen, the Opioid Risk Tool scores the patient at intake, taper protocols sit in the order-set library, and buprenorphine-conversion support is built into the prescribing window. The naloxone education handout generates from the chart in English or Spanish for the patient walking out.
SCS trial and intrathecal pump management
SCS trial documentation captures lead placement, trial duration, response against pain and function scores, and the implant decision rationale payers ask for. Intrathecal pump management tracks reservoir refill schedule, dose, concentration, infusion rate, and conversion calculations, with reminder logic so an empty pump never catches the practice off guard.
Integrated PACS, 60+ labs, and care-gap registry
Fluoroscopic images and the MRI documenting the disc herniation view in the chart alongside the report and the procedure note. Quest, Labcorp, and 50+ toxicology reference labs route UDS panels and confirmatory testing back as discrete results. Registry views surface patients overdue for a PDMP check, a UDS, or opioid-agreement renewal, and recall drives the outreach.
Included with GlaceEMR vs usually an add-on
When you price out another EMR, count what is included before you compare the headline number. The rows below are upsells, separate vendors, or consulting fees almost everywhere else, each with its own renewal date. They ship with GlaceEMR, with no tier games and no surprise line items at renewal.
| Capability | Most EMRs | GlaceEMR |
|---|---|---|
| PACS and DICOM viewer in the chart | Add-on license | Included |
| Hospital ADT, discharge summaries, inpatient results | Interface fee | Included (15+ hospitals) |
| 200+ reports plus a self-serve report builder | Consulting or ticket | Included |
| Self-check-in kiosk with opioid-risk intake, English and Spanish | Third-party vendor | Included |
| GlaceOffice administration suite (HR, PTO, credentials) | Separate subscription | Included, free for clients |
| Native iOS and Android apps for providers and staff | Mobile-web only | Included |
A solo practice can grow to 20 providers across multiple locations on the same platform, with no per-location upcharge and no contract to renegotiate when you add a satellite procedure site next quarter. Role-based access, single-tenant database per practice, encryption in transit, and LUKS full-disk encryption at rest in production carry the controlled-substance audit detail the field’s regulatory scrutiny demands.
FROM PROCEDURE TO PAID
One Path, Tracked End to End
The PDMP and UDS checks run inside the workflow, the procedure note captures level and laterality as discrete data, GlaceScribe drafts the narrative while GlaceIQ surfaces coding suggestions for your review, the scrubber checks the modifier mix and NCCI bundling before the claim goes out, and your named billing specialist works the queue to resolution. The same chart and the same team carry the dollar from the fluoroscopy suite to the deposit.
GLACERCM FOR PAIN MEDICINE
A Billing Service That Knows Interventional Pain Modifiers
GlaceRCM bills your claims in your EMR or ours, charged at a percentage of collections with no base fees and no monthly minimums. We would rather run it on our platform, where the scrubber sees the full procedure note, but if you are staying on your EMR our billing team works your claims there. The service is built for the interventional pain code mix and the workers-comp and personal-injury lines a real pain practice carries, and the numbers below reflect that focus.
95%+
First-pass claim adjudication. Most claims pay on the first submission, with no rework and no calendar lost to chasing a denial on a $1,200 injection.
99%+
Collection rate of payer-allowed amounts*. The dollars the payer contractually owes you actually arrive, because we work the queue to resolution instead of writing off the workers-comp and PI receivables at 90 days.
$0
Implementation fee, setup charge, and monthly minimum. We get paid when you get paid, so our interests and yours line up from the day the contract is signed.
*Of payer-allowed amounts.
Scrubbing tuned to pain modifiers
Bilateral, RT and LT, the multi-level rules on 64483 and 64484, the facet cap on 64493 through 64495, NCCI bundling between the diagnostic block and the RFA, fluoroscopic-guidance bundling, the -25 on the same-day E/M, and the SCS-trial global period are all checked before the claim goes out.
Workers comp and personal injury
Workers-comp and personal-injury claims run in separate worklists with separate aging buckets and separate appeals templates, because the rules are not commercial rules. Letters of protection and state fee schedules get the bucket they need instead of aging out as commercial denials.
Prior auth and denials to resolution
Our team handles the packets for repeat ESI series, SCS trials, intrathecal pump refills, and advanced imaging. We do not drop a denial at 90 days; every claim is tracked through appeals and peer-to-peer. A write-off happens only when you sign off.
A named billing specialist
A dedicated account manager who knows interventional pain payer mix in your state, the codes you bill, and your top denials. Not a ticket queue, not an offshore call center. They know your practice by name within a month of go-live.
Percentage of collections, no base fees. Provider credentialing, payer enrollment including workers-comp enrollment in your state, daily patient statements, and a US-based billing call center are part of the service, not separate line items. Your patients call our team about a balance, not your front desk, and soft collections are handled in-house. The percentage you pay tends to cover itself out of the dollars you start collecting that a busier biller was quietly writing off.
AI AND PATIENT ENGAGEMENT
The Documentation, the Coding, and the Phones
Every AI capability is a suggestion you review and select. Notes wait for your signature and codes wait for your approval before either reaches a claim, so the coding judgment and the clinical decision stay with you, every time. The AI is built on HIPAA-compliant infrastructure from Amazon, Google, Anthropic, Deepgram, ElevenLabs, and other enterprise AI providers, with multi-vendor architecture that preserves operational redundancy.
GlaceScribe
Ambient SOAP notes tuned to pain vocabulary, capturing the PEG and functional discussion and the procedure narrative. It runs on the post-injection follow-up and the taper visit, and the controlled-substance workflow keeps its rails. Up to four speakers, in person or telehealth, English and Spanish patient-facing.
GlaceIQ
30+ AI features tuned to your day: procedure-code and modifier suggestions at charge entry, denial prediction before submission, undercoding detection on MDM, PDMP-due and UDS-due prompts inline, and AI prior-auth packet assembly for SCS and pump requests. You review and select each one.
GlacePhoneSmart
An AI phone agent answers as your practice in English or Spanish, books into real scheduler slots, runs recall for the injection patients due for re-evaluation, fills cancellations before a $1,500 fluoroscopy slot sits empty, and surfaces voicemail summaries so the front desk stops drowning in callbacks.
A practice-branded portal, mobile app, kiosk, SMS, and email round out the stack, with English and Spanish on every patient-facing surface. The No-Show Predictor flags the high-risk patient before the procedure room sits empty, eligibility runs before the visit, and the monitoring cadence of PDMP, UDS, and agreement renewal is scheduled alongside the clinical calendar. Replies route back into the chart as structured tasks, so the overdue agreement renewal and the post-injection check-in get worked on cadence instead of piling up in an inbox.
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR
Most pain practices we onboard are leaving a horizontal platform that never fit the procedure-and-controlled-substance load. The transition is the part you dread most, and it is the part we have done hundreds of times. Implementation is $0, data migration is included, and your account manager runs the move and stays your account manager after go-live.
DAY 1
A chart that already looks like yours
You log in to migrated history, problem lists, current meds, the controlled-substance history, and recent results, with your procedure templates, order sets, code favorites, and opioid-agreement workflows already wired in. EMR go-live happens in under one week. The first few visits run slower; by the end of the day, your hands start to remember where everything lives.
DAY 30
Charting faster, claims flowing
You are charting faster than on the old system because the procedure templates match how you document, and GlaceScribe carries most of your visit notes. Your first month of clean injection claims is on the dashboard, you have walked the denial queue with your account manager, and the PDMP, UDS, and agreement-renewal worklist is live and clearing.
DAY 90
The switch starts paying for itself
Your first quarter’s dashboard shows cleaner procedure claims, faster posting, and fewer denials in the 60-to-90 bucket. The workers-comp and PI receivables that used to age out are being collected, your controlled-substance audit is one click, and GlacePhoneSmart has visibly cut front-desk call volume. The conversation turns from migration triage to using the platform harder.
Data migration covers historical records, documents, images, problem lists, medications, allergies, and the controlled-substance history, handled by Glenwood from your prior vendor’s export in 2 to 5 business days so your staff does not rebuild charts. The RCM transition runs 4 to 8 weeks with payer enrollment in parallel, including workers-comp enrollment, and we recommend a 30-to-90-day overlap with your previous vendor so the practice keeps operating normally. Glenwood has been independent and privately held since 1994, when our founder helped his physician wife acquire a private practice in Connecticut: 30+ years in market, no outside investors. Support runs 7:00 AM to 8:00 PM Eastern on weekdays, with 24×7 on-call coverage for urgent issues.
WE KNOW YOUR CODES
We Have Billed Your Mix Before
You already know your codes. We have built the workflows, the scrubber rules, the documentation prompts, and the denial templates around them, so the reimbursement you earned is the reimbursement you collect. The list below is the short version of what runs every day inside the platform for an interventional pain practice:
- 62321, 62323: cervical/thoracic and lumbar interlaminar epidural steroid injection
- 64483, 64484: lumbar transforaminal ESI single and additional level
- 64493, 64494, 64495: lumbar facet joint injection by level
- 64635, 64636: lumbar radiofrequency ablation single and additional level
- 27096: sacroiliac joint injection with image guidance
- 20552, 20553: trigger point injection, one to two and three or more muscles
- 63650, 63685, 63688: SCS trial lead, generator implant, and revision/removal
- 99213, 99214, 99215: office E&M for pain consult and follow-up
QUESTIONS WE HEAR EVERY WEEK
Pain Medicine Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Does GlaceEMR handle EPCS, PDMP, and the controlled-substance audit trail natively?
Yes. Surescripts EPCS with Id.me identity proofing and MFA runs on every controlled script. The state PDMP query fires inside the prescribing window, with the review documented inline into the controlled-substance audit trail attached to the script, the patient agreement, and the latest UDS. MME-threshold alerts, naloxone co-prescribe prompts, and drug-interaction checks fire at the point of order. The full audit detail a DEA inspection, a state board review, or a payer audit asks for is one click instead of two weeks of preparation, because the data was structured at the moment it was captured.
How does GlaceRCM handle interventional pain modifiers and bundling rules?
The claim scrubber is built around the interventional pain code mix. Bilateral, RT and LT, multi-level rules on 64483 and 64484, the facet-level cap on 64493 through 64495, NCCI bundling between the diagnostic medial-branch block and the RFA, fluoroscopic-guidance bundling, the -25 modifier on the same-day E/M, and the global period on the SCS trial are checked before submission. Workers-comp and personal-injury claims run in separate worklists with separate aging buckets and separate appeals templates, because the rules are not commercial rules.
Is GlaceScribe HIPAA-compliant, and where does the AI run?
Yes, fully HIPAA-compliant. GlaceScribe runs on HIPAA-compliant AI infrastructure from Amazon, Google, Anthropic, Deepgram, ElevenLabs, and other enterprise AI providers, all under business associate agreements. The multi-vendor architecture preserves operational redundancy. Up to four simultaneous speakers are supported, English and Spanish patient-facing, and all coding and order suggestions surface for clinician review before any signing. Nothing reaches the chart until the clinician approves it. Audio is processed in transit, the resulting note is stored in your single-tenant chart database with LUKS encryption at rest, and data never trains a shared model.
Do we have to switch EHRs to use GlaceRCM, and what does pricing look like?
Not necessarily. You pay a percentage of collections, with no base fees, no implementation charges, and no monthly minimums, quoted after a 20-minute discovery call. About 98% of Glenwood clients choose the full bundle, because the quality of the billing depends on the quality of the integration with the procedure note. But we are flexible: if you want to keep your current EMR, our billing team will work your claims in your EMR or ours, and GlaceEMR is available standalone for practices that keep their own billing team. GlaceRCM operates at 95%+ first-pass adjudication and 99%+ collection rate of payer-allowed amounts across our active client base.
How long is implementation, and what does training look like?
EMR go-live in under one week. RCM transition over 4 to 8 weeks alongside payer enrollment, including workers-comp enrollment in your state. Data migration takes 2 to 5 business days and is handled by Glenwood, so your staff does not rebuild a controlled-substance history. Provider training is delivered in pieces around real clinic, not a multi-day block that forces you to cancel a procedure day: a 2-to-4-hour core clinical session, then targeted follow-ups for advanced modules. Unlimited online training is included during onboarding for every role, including fluoroscopy techs, and continued online training is available for new staff later. A recommended 30-to-90-day overlap with your previous vendor gives the practice room to keep operating normally.
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If you carry adjacent panels, see how GlaceEMR runs orthopedics, neurology, physical medicine and rehabilitation, and rheumatology.
See What Glenwood Can Do for Your Practice
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