PULMONOLOGY
Run Your Pulmonology Practice Without Losing the Nodule
GlaceEMR and GlaceRCM built around serial PFT data, Lung-RADS follow-up, biologic and oxygen authorizations, and CPAP compliance, billed at a percentage of collections with no base fees, backed by 95%+ first-pass claim adjudication and 99%+ collection of payer-allowed amounts*.
*Of payer-allowed amounts.
WHAT WE HEAR FROM PULMONOLOGISTS
The Chart Was Built for a Single Acute Visit
Pulmonology runs on serial diagnostic data and high-stakes follow-up, and most EHRs were built for somebody else’s single acute complaint. Four pains come up in the first thirty minutes of almost every discovery call, and each one quietly costs you a missed catch, lost revenue, or both.
PFTs land as a PDF, not as data
Spirometry, DLCO, and bronchodilator response arrive as scanned files. The FEV1 line bending the wrong way over three years is invisible until you open every report by hand.
The nodule slips between scans
A 6 mm nodule gets a six-month recommendation. Nobody schedules it, and a year later you find it at 11 mm. Lung-RADS lives as free text, not a tracked task with a date.
Biologic and oxygen auths drain staff
Each biologic or antifibrotic packet is a forty-five-minute project, and the CMN 484.03 oxygen order bounces back when one box is missing. The documentation lives in three places at once.
CPAP data and procedure dollars leak
Compliance lives in vendor portals you log into one patient at a time, and the modifier 26 and TC logic on PFT and bronchoscopy bundles eats procedure revenue you actually earned.
GLACEEMR FOR PULMONOLOGY
An EHR Designed Around Your Serial Diagnostic Data
GlaceEMR is ONC-certified and has run in private pulmonology practices for years, with 30+ years of company history behind it. The pulmonology configuration is wired in before training starts, so the chart your team opens on day one already holds your PFT trending, your Lung-RADS follow-up, your inhaler and biologic favorites, and the codes your day runs on. Every capability below ships today.
Structured PFT capture and trending
Spirometry, lung volumes, plethysmography, DLCO, bronchodilator response, and methacholine challenge land as structured fields. FEV1, FVC, the FEV1/FVC ratio, TLC, RV, and DLCO trend across years on one flowsheet, so the obstructive pattern bending the wrong way is visible the moment you open the chart.
Lung-RADS and nodule follow-up engine
Every nodule carries a Lung-RADS category, a follow-up interval, and a tracked next-scan date the moment the LDCT or CT chest comes back. The recall worklist drives the outreach and the front desk schedules the next scan as a task, so the missed cancer that hides between scans stops happening.
COPD and asthma severity on one screen
Post-bronchodilator FEV1, mMRC, CAT, exacerbation count, and eosinophils combine into GOLD A through E, with the current LABA, LAMA, and ICS regimen alongside. For asthma, ACT, FeNO, IgE, and eosinophils drive a biologic-eligibility check across the omalizumab through tezepelumab list.
Oxygen orders and CPAP compliance
CMN Form 484.03 populates from the chart, with qualifying SpO2 and group I versus group II justification carried into supplier-ready paperwork. CPAP and BiPAP usage from the major device portals shows inside the chart, and the four-hour-on-seventy-percent window is surfaced before the ninety-day deadline.
Bronchoscopy and procedure notes
Templated notes for diagnostic bronchoscopy, BAL, EBUS, transbronchial biopsy, thoracentesis with imaging guidance, and pleural-catheter placement. Sedation, time-out, complication capture, and modifier 26 versus TC carry forward into the claim. Six-minute walk distance, pre and post SpO2, and Borg score capture discretely.
Labs, imaging, and hospital feeds
60+ two-way lab interfaces bring eosinophils, IgE, alpha-1 level, and antifibrotic LFT monitoring back with abnormal flags. Order chest CT, LDCT, and HRCT and read images alongside the report in the chart. ADT and discharge feeds from 15+ hospitals put the admitted COPD patient on your post-discharge schedule.
Included with GlaceEMR vs usually an add-on
When you price out another EMR for a pulmonary practice, 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 and price increase. They ship with GlaceEMR, with no tier games and no surprise line items.
| Capability | Most EMRs | GlaceEMR |
|---|---|---|
| PACS and DICOM viewer for chest CT in the chart | Add-on license | Included |
| CPAP and BiPAP compliance dashboard | Vendor portal login | Included |
| CCM, RPM, PCM, BHI, TCM time tracking | Separate module | Included |
| Self-check-in kiosk, English and Spanish | Third-party vendor | Included |
| GlaceOffice administration suite (HR, PTO, credentials) | Separate subscription | Included, free for clients |
| 200+ reports plus a self-serve report builder | Consulting or ticket | Included |
| 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 next quarter.
FROM STUDY TO PAID
One Path, Tracked End to End
GlaceScribe drafts the note, GlaceIQ surfaces coding and the modifier 26 versus TC split for your review, the scrubber checks every PFT and bronchoscopy bundle against payer rules before it goes out, and your named billing specialist works the queue to resolution. The same chart and the same team carry the dollar from the exam room to the deposit, so nothing falls through a handoff between four different vendors.
GLACERCM FOR PULMONOLOGY
A Billing Service That Knows Pulmonary Coding
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 modifier 26 versus TC logic, the PFT and sleep-study bundle edits, and the biologic and oxygen authorization workload.
95%+
First-pass claim adjudication. Most pulmonary 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.
PFT and procedure coding fluency
Spirometry, full PFT, DLCO, methacholine, and bronchoscopy coding with modifier 26, TC, and place-of-service rules for office, hospital, and ASC. Bundle edits between 94010, 94060, 94070, 94727, 94729, and 94720 applied the way each payer expects, so earned procedure revenue ends up on the books.
Sleep study and CPAP claims
95810, 95811, 95800, and 95806 handled with the right diagnostic codes and modifiers from the start. Recertification documentation pulls from the CPAP compliance dashboard, PAP supply claims track per payer schedule, and the ninety-day compliance window stops surprising the front desk.
Biologic, antifibrotic, and oxygen auth
Documentation packets for the biologic and antifibrotic list are assembled from the chart by our team: eosinophils, IgE, exacerbation history, step-therapy proof, and the IPF confirmation. Home-oxygen CMN 484.03 is assembled the same way. The forty-five-minute project shrinks to a five-minute review.
A named billing specialist
A dedicated account manager who knows pulmonary payer mix in your state, your procedure codes, your sleep-study volume, 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, and credentialing and payer enrollment are part of onboarding.
Percentage of collections, no base fees. 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 balance, not your front desk, and soft collections are handled in-house. Every denial is worked to resolution through appeals and peer-to-peer when necessity is disputed; a write-off happens only when you sign 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 and keeps the platform improving over time.
GlaceScribe
Ambient notes tuned to pulmonary vocabulary: dyspnea-driven HPI, smoking and exposure history, prior PFT review, and a per-problem assessment. Up to four speakers, in person or telehealth, English and Spanish patient-facing. The PFT interpretation drops in as a structured read, and charting finishes when the visit finishes.
GlaceIQ
30+ AI features tuned to your day: pre-charting from PFTs and imaging, COPD exacerbation risk flags, Lung-RADS follow-up surfacing, CPAP compliance prompts, and HCC and ICD-10 suggestions at signing. AI assembles biologic and oxygen prior-auth packets for the billing team to finish. You review and select each one.
GlacePhoneSmart
An AI phone agent answers as your practice in English or Spanish, books into real PFT and sleep-study slots, runs recall for biologic infusions and LDCT follow-ups, fills cancellations, and surfaces voicemail summaries so the front desk stops drowning during CPAP-resupply 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 fifty-year-old who only opens text both end up on the schedule, both finish intake before they walk in, and both pay their balance without the front desk lifting a finger. Replies route back into the chart as structured tasks, so LDCT recalls, six-month nodule follow-ups, post-discharge COPD check-ins, and CPAP ninety-day windows get worked on the cadence the care plan calls for.
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR
Most pulmonology practices we onboard are leaving a legacy platform that never fit serial diagnostic data and Lung-RADS follow-up. 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, and recent results, with your templates, PFT trending, nodule worklist, inhaler and biologic favorites, and CPAP dashboard 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 templates match how you document, and GlaceScribe carries most of your HPIs. Your first month of CCM and RPM time has rolled into a claim, the first submissions are on the dashboard, the nodule-due roster is being worked, and you have walked the denial queue with your account manager.
DAY 90
The switch starts paying for itself
Your first quarter’s dashboard shows cleaner PFT and procedure claims, faster posting, and fewer denials parked in the 60-to-90 bucket, with biologic and oxygen authorizations on a managed cadence. CCM and RPM are real revenue lines that did not exist before, and GlacePhoneSmart has visibly cut front-desk call volume.
Data migration covers historical records, documents, images, problem lists, current medications, allergies, and the prior PFT history where the source supports the export, handled by Glenwood from your prior vendor’s data export. 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, and every role gets unlimited online training during onboarding with continued access for new hires later. 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, so the practice with a problem at 6:30 AM Pacific still reaches a person.
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 a pulmonology practice:
- 94010, 94060, 94070: spirometry, with bronchodilator, with bronchoprovocation
- 94727, 94728, 94729, 94720: lung volumes, plethysmography, DLCO
- 95810, 95811, 95800, 95806: in-lab PSG, CPAP titration, home sleep tests
- 94640, 94664, 94760: nebulizer treatment, inhaler education, pulse oximetry
- G0296, 71271: lung cancer screening counseling and LDCT
- 94625, 94626: pulmonary rehab sessions (with and without continuous oximetry)
- 99406, 99407: smoking cessation counseling
- 99202 to 99215: office E&M with MDM-based selection for complex pulmonary visits
QUESTIONS WE HEAR EVERY WEEK
Pulmonology Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Does GlaceEMR capture PFT values as structured data, not as PDFs?
Yes. Spirometry, full pulmonary function with lung volumes and DLCO, bronchodilator response, and methacholine challenge all land in the chart as discrete fields, not scanned attachments. FEV1, FVC, FEV1/FVC, TLC, RV, and DLCO trend across years on one flowsheet, and the obstructive ventilatory pattern bending the wrong direction is visible the moment you open the chart. Major PFT vendor outputs are supported, and the structured capture flows directly into your PFT-interpretation note as well as your billing scrub, so the technical and the professional sides of the procedure both clear cleanly. Six-minute walk distance, pre and post SpO2, and Borg dyspnea capture the same way.
How does the Lung-RADS and nodule-follow-up engine actually work?
Every nodule carries a Lung-RADS category, a follow-up interval, and a tracked next-scan date the moment the LDCT or CT chest comes back. The recall worklist drives the outreach, the front desk schedules the next scan as a tracked task, and the six-month nodule does not slip past the calendar. Eligibility for the 50-to-77 USPSTF lung-cancer-screening cohort and the G0296 shared-decision-making conversation are flagged based on age and pack-years, so the screening program runs as a managed roster instead of a collection of free-text recommendations. The patient who needs a re-image in six months gets re-imaged in six months, and the missed cancer that hides between scans stops happening.
How does GlaceRCM handle biologic and antifibrotic prior authorizations?
The billing team assembles the documentation packet from the chart and finishes the submission. For omalizumab, dupilumab, mepolizumab, benralizumab, and tezepelumab, the eosinophil count, IgE, exacerbation history, and step-therapy proof are pulled into the packet, validated by a coder who knows pulmonary, and submitted with the appeal language each payer responds to. For nintedanib and pirfenidone, the IPF diagnostic confirmation and the lung-function decline are assembled the same way. The 45-minute manual project shrinks to a five-minute review, and the patient gets the medication their condition needs while you can still adjust the plan with them in the room.
Can the platform handle CPAP compliance tracking and the 90-day Medicare window?
Yes. CPAP and BiPAP usage data from the major device-manufacturer compliance portals displays inside the chart, not in a separate vendor portal the front desk has to log into one patient at a time. The Medicare four-hour-on-seventy-percent-of-nights window is calculated and surfaced before the ninety-day deadline, not after a denial. Residual AHI on therapy and mask-leak data sit alongside the usage line, so the re-evaluation visit opens with the data already on screen. When compliance is borderline or missing, GlaceIQ flags the patient for review and the provider decides whether to call the patient back for a mask refit, a re-titration, or an education visit before the window closes.
Do we have to switch EHRs to use GlaceRCM, and what does pricing look like?
Not necessarily. GlaceRCM is a bundled service that includes GlaceEMR clinical software, the practice management software that runs scheduling and charge capture, and the medical billing team, and the bundle is where the billing runs best, because the quality of the billing depends on the quality of the integration. 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 pay a percentage of what we collect, with no base fees, no implementation charges, no setup fees, and no monthly minimums. The 95%+ first-pass adjudication and 99%+ collection rate of payer-allowed amounts are how we operate across our active client base. EHR go-live is under one week, data migration runs 2 to 5 business days, implementation is $0, and a 30-to-90-day overlap with your prior vendor protects continuity. If you want our software without our billing service, GlaceEMR is available standalone for the small minority of practices that prefer to keep their existing billing team.
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