PEDIATRICS
An EMR That Grows With Every Patient, Percentile by Percentile, Vaccine by Vaccine
A 4-year well-check arrives, mom mentions a rash, dad asks about the school form, and the M-CHAT and catch-up MMR forecast are already loading. Twenty minutes later the note is signed, the -25 modifier is on the claim, the VFC dose is reconciled, and the bilingual asthma handout is on the parent’s phone. That is your day on GlaceEMR and GlaceRCM, 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 PEDIATRICIANS
Children Are Not Small Adults, and the Chart Knows It
Pediatrics runs on details that change by the month, and general EMRs treat children like small adults. Four pains come up in the first thirty minutes of almost every discovery call with a pediatric practice, and each one quietly costs you time, revenue, or both.
Growth charts that must be right
Heights, weights, head circumferences, and BMI percentiles across visits and devices, against CDC and WHO standards. Parents notice when the curve is wrong, and you should not be the one catching it on a Friday afternoon.
Registries and VFC are brittle
Every state registry has its own format, your nurse double-enters every vaccine, and a quarterly reconciliation finds doses that never crossed. VFC audits do not forgive a missing entry, and the fridge holds tens of thousands in inventory.
Well-plus-sick gets denied
Mom brings the 4-year-old for a well visit and mentions a rash. The -25 rules trip most billing teams, the payer rule changes every quarter, and you either eat the work or fight the denial. Most platforms leave the modifier to memory.
Medicaid mix and message volume
A Medicaid-heavy panel carries lower pay, higher documentation, and quarterly prior-auth changes. Meanwhile every patient comes with a parent, screening clipboards lose their decimal places, and the recall list never gets worked.
GLACEEMR FOR PEDIATRICS
An EHR Designed Around a Patient Who Changes by the Month
GlaceEMR is ONC-certified and has run in private pediatric practices for decades, with 30+ years of company history behind it. The pediatric configuration (growth curves, weight-based dosing, immunization logic, age-banded templates, developmental screening, VFC handling) is wired in before training starts, so the chart your team opens on day one already knows the conditions, the codes, and the workflows your day runs on. Every capability below ships in the platform today, not as a roadmap promise.
Age-banded well-child templates
Well-child care arrives templated by visit age at every Bright Futures stop, with growth, development, immunization, and anticipatory-guidance items built into the note. Adolescent visits carry the confidentiality those encounters require for contraception, STI, mental health, and substance-use screening.
CDC and WHO growth curves
Height, weight, head circumference, and BMI plot against CDC and WHO percentiles with longitudinal trend charts, and blood-pressure percentile by age and height is a native captured field. The percentile-crossing flag fires before you do, so the conversation happens at this visit instead of the next one.
Immunization engine and registry reporting
The forecaster predicts what is due, overdue, and next by exact age, with CVX-coded favorites and catch-up logic, and reports to your state registry over the interface. The VaccineInventory module ties doses, lots, and expirations to administration, keeping VFC and private stock reconciled so year-end audits stop being a fire drill.
Weight-based dosing
Electronic prescribing carries weight-based dosing favorites for amoxicillin, amox-clav, albuterol, ondansetron, and the rest of the agents written all season, calculated against the child’s current weight. The medication record stays reconciled across siblings on a family account.
Developmental screening with auto-scoring
M-CHAT-R and ASQ for development, Vanderbilt for ADHD, PHQ-A for adolescent depression, and the childhood Asthma Control Test, all built in with automatic scoring and trigger logic. A positive screen routes to the next step instead of getting lost on a paper form at the front desk.
Family-account scheduling and school forms
A parent books three children without three separate searches, the schedule respects recorded custody calendars, and the No-Show Predictor protects a packed well-visit schedule. School, daycare, sports physical, and ADHD letters generate from the chart instead of being hand-typed.
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 or separate vendors almost everywhere else, each with its own renewal and its own price increase. They ship with GlaceEMR, with no tier games and no surprise line items.
| Capability | Most EMRs | GlaceEMR |
|---|---|---|
| VFC and private vaccine inventory reconciliation | Separate vendor or manual | Included |
| State immunization registry interface | Interface fee | Included |
| Care Gap and Population Registry views | Add-on analytics module | Included |
| Self-check-in kiosk, English and Spanish | Third-party vendor | Included |
| Native telehealth (HD video, no seat license) | Third-party vendor | Included |
| GlaceOffice administration suite (HR, PTO, credentials) | Separate subscription | Included, free for clients |
15+ hospital interfaces deliver ADT, discharge summaries, and inpatient results into the chart, 60+ labs handle newborn-screening and routine results, and a solo practice can grow to 20 providers across multiple locations on the same platform with no per-location upcharge.
FROM FRIDGE TO CLAIM
One Path for Every Dose
The forecaster surfaces what is due, the dose comes off the right shelf, inventory reconciles against administration, the registry updates over the interface, and the admin code lands on the claim alongside the product. One chart and one workflow carry the dose from the fridge to the deposit, so no $30 vaccine encounter pays only the product because the admin code was missed.
GLACERCM FOR PEDIATRICS
A Billing Service That Knows Your Pediatric Mix and Your Medicaid Plans
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 chart, but if you are staying on your EMR our billing team works your claims there. The service is built for the pediatric code mix and the Medicaid-heavy payer panel that defines pediatric reimbursement, 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 denial follow-up.
99%+
Collection rate of payer-allowed amounts*. The dollars the payer contractually owes you actually arrive, because we work the queue to resolution.
$0
Implementation fee, setup charge, and monthly minimum. We get paid when you get paid, so our interests and yours line up from day one.
*Of payer-allowed amounts.
Vaccine admin coding, paired with NDC and CVX
Vaccine administration (90460 and 90461) is captured and coded alongside the product with NDC and CVX tracking, so the admin code, the counseling component, and the product code all land on the same claim line in the right combination.
Modifier -25 prompts on well-plus-sick
When a sick visit rides alongside a well-check, modifier logic prompts the -25 and the documentation prompt holds you to the separate identifiable problem standard. The Undercoding Detector flags visits billed below documented complexity, so the well plus rash pays as the well plus rash.
Medicaid and managed-Medicaid fluency
The Payer Analyzer makes the mix legible, and our specialists know which plan denies a -25 on principle, which needs a county-specific referral, and which rejects developmental-screening codes without a paired diagnosis. We work the queue daily and know which evidence packet moves which denial.
Denials worked to resolution
We do not drop a denial at 90 days. Every claim is tracked through appeals, second-level reviews, and peer-to-peer when necessity is disputed. Medicaid appeals run on their own timelines, and our specialists work them on the timeline the plan actually responds to.
Percentage of collections, no base fees. GlaceRCM is the bundle: GlaceEMR software, the practice management software, and the medical billing team, with GlaceBillSmart AI billing automation inside the PMS to surface undercoded visits and denial root causes. A named account manager who knows your state’s pediatric payer mix runs your panel, credentialing and Medicaid revalidation are part of onboarding, and parents call our US-based call center about a balance, not your front desk during morning rooming.
AI AND PATIENT ENGAGEMENT
The Documentation, the Coding, and the Parents
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 and keeps the platform improving over time.
GlaceScribe
Ambient notes that structure the well-check and the sick visit the way pediatricians work, returning discrete growth parameters, exam findings, and screening results as structured fields. Up to four speakers, so a parent, grandparent, and sibling are documented alongside the patient. English and Spanish patient-facing, with adolescent confidential content handled under the access control those visits require.
GlaceIQ
30+ AI features tuned to the pediatrician’s day: a Morning Huddle pre-chart, vaccine forecast and catch-up suggestions, percentile-crossing flags, developmental-screening triggers with referral routing, weight-based dosing safety checks, and AI-assisted prior auth. 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 and reminder campaigns, fills cancellations, and surfaces voicemail summaries. Parents reach the practice at 11 PM and still get an appointment for next Tuesday, and the front desk stops drowning at back-to-school season.
A practice-branded portal, mobile app, kiosk, SMS, and email round out the stack, with English and Spanish on every patient-facing surface and a family account that holds all the children in one place. Well-visit recalls, vaccine catch-up nudges, and ADHD med-titration check-ins go out in patient-preferred language and channel, and replies route back into the chart as structured tasks instead of into an inbox somebody reads on Monday.
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR
Most pediatric practices we onboard are leaving a legacy platform that asked them to bolt growth charts and immunization logic onto an adult-built chart. 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, immunization and growth history, current meds, and recent results, with your age-banded templates, order sets, code favorites, growth calculators, screening instruments, and bilingual handouts already wired in. EMR go-live happens in under one week, and the growth charts are populated for every patient who walks in.
DAY 30
Charting faster, registry clean
You are charting faster than on the old system because the templates match how you document, and GlaceScribe carries most of your HPIs. The state registry interface has been live for three weeks, your nurses stopped double-entering vaccines, and VFC reconciliation runs clean for the month. The first submissions are on the dashboard and the denial queue is walked with your account manager.
DAY 90
The switch starts paying for itself
Your first quarter’s dashboard shows cleaner claims, faster posting, and fewer denials parked in the 60-to-90 bucket. The -25 capture on well-plus-sick is a real revenue line that did not exist before, developmental and behavioral screening codes are captured at the rate the work happens, and VFC reconciliation has produced a clean audit trail. GlacePhoneSmart has cut front-desk call volume, and recall has closed care gaps for hundreds of children.
Data migration covers historical records, immunization history, growth history, documents, images, problem lists, current medications, allergies, and outstanding orders, handled by Glenwood in 2 to 5 business days with historical immunization and growth data brought across as structured fields. The RCM transition runs 4 to 8 weeks with payer enrollment in parallel, and we recommend a 30-to-90-day overlap with your previous vendor so the practice keeps operating normally. Provider training is delivered in pieces around your real schedule, a 2-to-4-hour core session then targeted follow-ups, with unlimited online training during onboarding and continued access for new hires. Glenwood has been independent and privately held since 1994, when our founder helped his physician wife acquire a private practice in Connecticut. The infrastructure is built to ONC certification, HIPAA, and PCI-DSS for payment handling, with LUKS full-disk encryption in production and data encrypted in transit and at rest. 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. The list below is the short version of what runs every day inside the platform for a pediatric practice:
- 99391 to 99395: preventive medicine, established patient, by age band
- 99381 to 99385: preventive medicine, new patient, by age band
- 99213, 99214, 99215: office E&M, established patient (sick visit)
- 90460, 90461: vaccine administration with counseling, by component
- 96110: developmental screening (M-CHAT-R, ASQ)
- 96127: emotional and behavioral screening (Vanderbilt, PHQ-A)
- 99173, 92551: vision and hearing screening
- Modifier -25: separately identifiable E&M alongside the well visit
- ICD-10 Z00.121, Z00.129, Z23: routine child health exam and immunization encounter
QUESTIONS WE HEAR EVERY WEEK
Pediatric Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Does GlaceEMR report to my state immunization registry?
Yes. The immunization engine forecasts what is due, what is overdue, and what is next by exact age, with CVX-coded vaccine favorites and catch-up logic for the child who arrives behind. It reports to the state registry over the interface so the record stays straight without a staffer reconciling two systems by hand, and the interface accommodates each state’s format so your nurse stops double-entering doses into a separate portal. VFC and private stock are tracked separately, the VaccineInventory module ties administration to lot and expiration, and the reconciliation between what was given and what was billed runs clean for the audit. The eight-year-old new to town who shows up missing six doses walks out with a catch-up plan documented in the chart.
How does GlaceRCM handle the well-check plus sick-visit modifier-25 problem?
The modifier logic prompts the -25 when the documentation supports a separately identifiable problem alongside the well visit, and GlaceIQ surfaces the prompt at coding time so the claim reflects both pieces of work. The Undercoding Detector flags visits billed below the documented complexity, so the well plus rash you actually performed pays as the well plus rash on the claim. Payer-specific rules in the scrubber catch the plans that handle -25 differently, and our denial team works the appeals on the plans that reject the modifier on principle. The 4-year-old well-check that also covered a rash is no longer a coin-flip on whether the practice keeps the dollars; it is a documented and defended claim.
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, so a single upstream incident does not stop your visits. Up to four simultaneous speakers are supported, so a parent, a grandparent, and a sibling in the room are documented alongside the patient without scrambling the assessment. English and Spanish patient-facing, and all coding and order suggestions surface for your review before signing. Nothing reaches the chart until you approve it. Audio is processed in transit, the resulting note is stored in your single-tenant chart database with LUKS encryption at rest, and the data never trains a shared model that mixes your patients with anybody else’s. Adolescent confidential content is handled under the access control adolescent visits require.
How does GlaceRCM handle a Medicaid-heavy pediatric panel?
Pediatric panels lean heavily on Medicaid and managed-Medicaid plans, and our billing specialists know the territory. We work the queue every day, our scrubber carries plan-specific and county-specific rules, and our team knows which managed plan denies a -25 on principle, which one needs a referral for developmental specialists, and which one rejects screening codes without a paired diagnosis. The Payer Analyzer makes the mix legible, including which plans pay the developmental-screening code and which bundle it into the well-visit. Credentialing and Medicaid revalidation are part of onboarding, not a separate engagement. Patient-responsibility on Medicaid is typically minimal, and our US-based call center handles the few statements that come up so the front desk is not on the phone about a $4 balance during morning rooming.
What does GlaceRCM pricing look like, and can we keep our EMR?
You pay a percentage of what we collect, with no base fees, no implementation charges, and no monthly minimums. The exact percentage depends on your code mix, payer panel, and volume, and you will have it after a 20-minute discovery call. We would rather run the full bundle, where the billing quality depends on a tight integration with the chart, and about 98% of Glenwood clients choose that path. 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. There are no surprise line items for credentialing, denial follow-up, prior auth, statements, or the call center, because all of that is part of the service, and the -25 modifier captures and developmental screening codes most pediatric practices under-bill tend to cover what we charge.
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If you carry adjacent panels, see how GlaceEMR runs family medicine, internal medicine, OB-GYN, and behavioral health.
See What Glenwood Can Do for Your Practice
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