PREVENTIVE MEDICINE
An EMR That Never Lets the Screening Slip
A continuous registry against USPSTF guidelines, AWV elements that drop to discrete fields, and recall that turns every care gap into a booked visit. That is GlaceEMR and GlaceRCM, built for the screening-and-wellness practice, billed at a percentage of collections with no base fees and backed by 95%+ first-pass claim adjudication and 99%+ collection of payer-allowed amounts*.
*Of payer-allowed amounts.
WHAT WE HEAR FROM PREVENTION PHYSICIANS
The Chart Was Built for the Reactive Visit
In preventive medicine the most valuable work is the visit that did not generate a complaint: the screening done on schedule, the vaccine given before exposure, the risk caught while it was still modifiable. Most EHRs were built for the problem-driven encounter, and they buckle the moment you track a population against guidelines. Four pains come up in almost every discovery call.
The registry is a spreadsheet
The panel that should be the engine of a prevention practice lives in a printout your nurse updates on Sunday nights. The colonoscopies due in March and the HPV series nobody finished ride on human memory.
AWV revenue left on the table
The G0438 and G0439 elements get partially documented, the visit gets billed as a 99214 instead, and three figures of wellness revenue slips on every Medicare patient. Across a panel that is six figures a year.
Modifier -33 gets forgotten
The screening colonoscopy becomes diagnostic on the patient’s bill, the ACA-waived deductible lands on the statement, and the angry call lands on the front desk. The fix is one modifier the chart should apply.
MIPS understates your work
The screenings and counseling happened, but half never reached the structured fields the MIPS engine reads. The 90th-percentile prevention practice scores like an average office, and the work was excellent while the data was wrong.
GLACEEMR FOR PREVENTIVE MEDICINE
A Chart Built Around the Schedule of What Is Due
GlaceEMR is ONC-certified and runs on 30+ years of company history. The preventive-medicine configuration, USPSTF logic, AWV templates, immunization schedules, and registry engine, is wired in before training starts, so the chart your team opens on day one already knows the guidelines, the codes, and the workflows. Every capability below ships in the platform today.
A continuous population registry and care-gap engine
The registry runs continuously against USPSTF and AAFP recommendations and the adult and travel immunization schedules. It surfaces every patient overdue for a colonoscopy, a mammogram, a cervical screen, a lung LDCT, an HPV series, or a Tdap across the whole panel, and a recall engine turns each gap into a task and a patient outreach.
USPSTF-aligned screening templates
Cancer screening templates cover colorectal, breast, cervical, prostate, and lung mapped to USPSTF intervals. Each surfaces the right age-and-risk eligibility band on entry, with the guideline source, date, and evidence level visible on the alert. The chart you open is the chart a prevention practice needs, not a problem-oriented note you have to bend.
AWV, IPPE, and employer-wellness workflows
The AWV (G0438, G0439), the Welcome-to-Medicare IPPE, and employer pre-employment, OSHA, DOT, and executive-wellness exams all ship with templates that drive every required element to a discrete field. The visit billed as an AWV carries an AWV-quality note, and the employer report generates from the same structured data as a one-click PDF.
Structured risk scoring at the point of care
ASCVD 10-year risk, FRAX, AUDIT-C, PHQ-9, GAD-7, pack-year and LDCT eligibility, and the AWV health-risk assessment are built in with automatic scoring and trigger logic. A positive screen routes to the right follow-up, results land as discrete codeable data, and rising risk shows on a trend chart instead of being re-derived every visit.
Immunization engine with adult and travel schedules
The engine forecasts what is due by age, condition, occupation, and travel destination across the full adult schedule, catch-up logic, and travel prophylaxis. CVX and NDC coding flow in, inventory tracks doses and expiration, and the platform interfaces with state immunization registries so IIS reconciliation runs as a background process.
Referral tracking closes the loop
The positive screen, the colonoscopy referral, and the pulmonology follow-up on a Lung-RADS 4 nodule run through referral tracking. The loop from screen to specialist to diagnosis closes inside the chart instead of going dark on a fax line, so the registry stays accurate and the cancer you found early stays found.
Included with GlaceEMR vs usually an add-on
When you price out another EMR, count what is included before you compare the headline number. A prevention practice usually buys most of the rows below from separate vendors, each renewing on its own schedule. They ship with GlaceEMR.
| Capability | Most EMRs | GlaceEMR |
|---|---|---|
| Self-check-in kiosk with HRA intake, EN and ES | Third-party vendor | Included |
| CCM, RPM, PCM, BHI, TCM time tracking | Separate care-management product | Included, native |
| Native telehealth, PACS and DICOM viewer | Add-on subscriptions | Included |
| 200+ reports plus a self-serve report builder | Consulting or analyst fee | Included |
| Population health, ACO, and HIE connectivity | Separate vendor | Included |
| GlaceOffice administration suite (HR, credentials) | Separate subscription | Included, free for clients |
A solo practice can grow to 20 providers across multiple locations, including employer on-site clinics, on the same platform, with no per-location upcharge and the same registry, recall logic, and billing flow on day one of a new satellite.
FROM REGISTRY TO PAID
One Path, Tracked End to End
The registry surfaces the care gap, the recall books the visit, GlaceScribe drafts the note while GlaceIQ flags the missing AWV elements and the -33 modifier for your review, the scrubber checks every line against payer rules, and your named billing specialist works the queue to resolution. The same chart and the same team carry the dollar from the recall list to the deposit.
GLACERCM FOR PREVENTIVE MEDICINE
A Billing Service That Captures Preventive Revenue Cleanly
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 preventive code mix and the mixed commercial-and-Medicare panel, 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.
Scrubbing tuned to AWV and screening codes
Payer-specific rules check the preventive mix before submission: G0438 and G0439 AWVs, G0402 IPPE, G0442 and G0444 screening, 99401 through 99404 counseling, preventive E&M, immunization administration, and the screening colonoscopy and LDCT lines. The -33 modifier applies where it belongs, so claims that need a fix get fixed before they go out.
Undercoding detector for counseling time
Preventive counseling and risk-assessment time are notoriously under-captured. The undercoding detector flags notes where the documented minutes or AWV elements support a higher level than what was billed, so the 15-minute cessation conversation that should be a 99407 gets caught before submission rather than written off.
Employer and occupational contract billing
Pre-employment physicals, OSHA clearances, DOT exams, and executive-wellness assessments run on different fee schedules than the clinical panel. The platform carries the contract terms, the deliverable templates, the invoicing cadence, and the AR, so contract margin shows on a dashboard alongside the clinical book.
A named billing specialist
A dedicated account manager who knows the preventive payer mix in your state, the AWV and screening codes you bill, and your top denials. Not a ticket queue, not an offshore call center. Denials are worked to resolution through appeals and peer-to-peer, and the write-off happens only when you sign off.
Percentage of collections, no base fees. Provider credentialing, payer enrollment, prior auth, 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 screening-versus-diagnostic balance, not your front desk, so the receptionist scheduling the next AWV is not stuck on a billing call about a $14 copay.
AI AND PATIENT ENGAGEMENT
The Documentation, the Coding, and the Recall
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. 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 notes tuned to the wellness visit: AWV elements as discrete fields, the risk-factor and lifestyle conversation organized by topic, and a plan organized by what was ordered, deferred, and scheduled to recall. Up to four speakers, in person or telehealth, English and Spanish patient-facing. Charting finishes when the visit finishes.
GlaceIQ
30+ AI features tuned to the prevention day: pre-charting from the registry and care gaps, AWV element capture at signing, care-gap and screening prompts inline, panel risk stratification, and per-code reimbursement at charge entry. You review and select each one.
GlacePhoneSmart
An AI phone agent answers as your practice in English or Spanish, books AWVs and IPPEs into real scheduler slots, runs recall campaigns for overdue screenings and vaccines, accepts payment over the phone, and surfaces voicemail summaries so the front desk stops drowning at AWV season.
A practice-branded portal, mobile app, kiosk, SMS, and email round out the stack, with English and Spanish on every patient-facing surface. The seventy-year-old who only opens email and the twenty-eight-year-old who only opens text both end up on the schedule, both finish the health-risk assessment before they walk in, and both follow through on the screening recall. Replies route back into the chart as structured tasks, so overdue mammograms and lung-screening LDCTs get worked on the cadence the registry calls for instead of piling up in an inbox somebody reads on Monday.
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR
Most prevention practices we onboard are leaving a legacy platform or a horizontal suite that never fit the registry-driven model. 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 registry that is already accurate
You log in to migrated history, active problem lists, current meds, and screening and immunization history, with your AWV and IPPE templates, USPSTF logic, immunization schedules, and code favorites wired in. The registry and care-gap engine are accurate on day one, not month six. EMR go-live happens in under one week. The first visits run slower; by the end of the day, your hands start to remember where everything lives.
DAY 30
Charting faster, recall filling the day
You are charting faster than on the old system because the templates match how you document a prevention visit, and GlaceScribe carries most encounters. Your first month of submissions is on the dashboard, you have walked the denial queue with your account manager, and the recall and care-gap workflows are live. The front desk is filling tomorrow from the recall list, and the registry shows where your overdue colon screens and mammograms live.
DAY 90
The switch starts paying for itself
Your first quarter’s dashboard shows cleaner claims, faster posting, and fewer denials in the 60-to-90 bucket. AWV and IPPE revenue is a real line that did not exist at the same scale before, because the elements are captured and the codes land on the claim. Your HEDIS-aligned screening rates are climbing as the registry closes care gaps, GlacePhoneSmart has cut front-desk call volume, and recall has reached hundreds of patients you would have missed.
Data migration covers historical records, screening and immunization history, documents, problem lists, current medications, allergies, and outstanding orders, handled by Glenwood from your prior vendor’s export so your staff does not clean charts. 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 while the new chart proves itself. Glenwood has been independent and privately held since 1994: 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, so the practice with a problem at 6:30 AM Pacific still reaches a person.
WE KNOW YOUR CODES
We Have Billed Your Prevention Mix Before
You already know your codes. We have built the workflows, the scrubber rules, the modifier logic, 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 a preventive-medicine practice:
- G0438, G0439: initial and subsequent Annual Wellness Visit
- G0402: Welcome-to-Medicare Initial Preventive Physical Exam
- 99381-99397: preventive E&M, new and established patient
- 99401-99404: preventive medicine counseling and risk-factor reduction
- G0442, G0444, G0446: alcohol screening, depression screening, cardiovascular behavioral counseling
- 99406, 99407: tobacco-cessation counseling, intermediate and intensive
- 90460-90474: immunization administration, plus the relevant CPT and CVX codes
- Modifier -33: preventive-service modifier on ACA-mandated lines
QUESTIONS WE HEAR EVERY WEEK
Preventive Medicine Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Does GlaceEMR support a real population registry and care-gap engine?
Yes. The Population Registry runs continuously against USPSTF and AAFP screening recommendations and against the adult, travel, and occupational immunization schedules. Every patient overdue for a colonoscopy, mammogram, cervical screen, lung-cancer LDCT, HPV catch-up, Tdap, shingles, or pneumococcal dose surfaces in a single view of the panel. A recall engine and task routing turn each gap into outreach. Each care-gap alert carries the guideline source, date, and evidence level, so the recommendation is defensible at audit. The registry is populated on day one from your migrated data, so the engine is accurate from go-live, not in month six.
How does GlaceRCM handle AWV, IPPE, and the -33 modifier?
The AWV (G0438 initial, G0439 subsequent) and Welcome-to-Medicare IPPE (G0402) workflows ship preconfigured. Every required element drops to a discrete field, the HRA pulls in from the patient intake, and the visit billed as an AWV carries an AWV-quality note. The undercoding detector flags counseling time, risk-assessment work, and additional preventive lines (G0442, G0444, G0446) billed below what the documentation supports. Modifier -33 applies on the line items where the ACA preventive-services rule waives cost-sharing, so the patient does not get a surprise bill for a service the law already exempted, and the practice does not lose the deductible-protected revenue.
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, English and Spanish patient-facing, and all coding and order suggestions surface for your review before any 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.
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, employer-contract volume, and visit 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. You will not see surprise line items for credentialing, denial follow-up, prior auth, statements, or the patient call center, because all of that is part of the service.
How does MIPS and quality reporting work for a prevention practice?
The live MIPS Dashboard tracks screening, immunization, counseling, and risk-assessment measures scored at the point of care, so the practice’s quality numbers reflect the prevention you already deliver rather than a separate reporting effort. HEDIS-aligned screening rates are surfaced by provider, by panel, and by payer. Care gaps closed inside the encounter window count as a byproduct of good documentation. For practices in ACO arrangements with Aledade, Arcadia, Innovaccer, or FigMD, the structured data exports cleanly to the partner platform, so the work shows up in the report the ACO uses and the reconciliation the payer runs next year.
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See What Glenwood Can Do for Your Practice
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