ENDOCRINOLOGY
An EHR Built for Titration, Trends, and the Device Data Diabetes Runs On
GlaceEMR and GlaceRCM built for the CGM upload, the long titration, and the GLP-1 prior auth, 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 ENDOCRINOLOGISTS
Your Practice Is a Specialty of Moving Numbers
Glucose, A1c, TSH, calcium, and bone density tell their story across months and device streams, and most EHRs cannot hold a trend. Four pains come up in the first thirty minutes of almost every endocrinology discovery call.
CGM and pump data in vendor silos
Three apps, three logins, a stack of PDFs. None of it structured, none of it codeable, and your fellow clicks browser tabs to assemble the picture you should already be reading.
Diabetes CCM and RPM left on the table
CCM, RPM, and PCM pay when time is captured against the care plan. When staff fights to log a minute, the dollars never reach the claim and the between-visit work bills at zero.
Prior auth eats your team alive
GLP-1s, PCSK9s, pumps, CGMs, growth hormone, and bone agents each carry an auth cycle. Your MA spends Thursday on hold, and the therapy that changes outcomes slips four to six weeks.
Dense visits, chronic undercoding
A brittle-diabetic titration or a Cushing workup is 99214 or 99215 work that bills as a 99213 when the note never surfaces the MDM the visit actually carried.
GLACEEMR FOR ENDOCRINOLOGY
An EHR Built Gland by Gland, and Tuned to Devices
GlaceEMR is ONC-certified and has run in private endocrinology practices for years, with 30+ years of company history behind it. The endocrinology configuration is wired in before training starts, so the chart your team opens on day one already holds the trend charts, the device feeds, and the titration order sets your day runs on. Every capability below ships today, not as a roadmap promise.
CGM and pump data as structured fields
CGM uploads and pump downloads from major device families land as discrete data: time-in-range, GMI, average glucose, coefficient of variation, basal rates, bolus history, and site-change events. CGM and pump views share a time axis, so the question you came to answer is in front of you.
Longitudinal trend charts
A1c, glucose, TSH and free T4, calcium and PTH, weight, lipids, and DEXA T-score plot longitudinally with patient-specific target zones shaded and medication changes annotated on the curve. The results table becomes a clinical story you read in one glance.
Thyroid management on one screen
TSH, free T4 and T3, reverse T3, TPO and thyroglobulin antibodies, ultrasound, FNA cytology, Bethesda category, pathology, and dose history sit on one thyroid dashboard. Hashimoto, Graves, post-thyroidectomy surveillance, and nodule patients each get their own layout.
Native CCM, RPM, PCM, and BHI
Care management for the diabetes panel is built into the chart, not a separate vendor. Time accrues against the care plan as staff documents, device readings trip threshold reviews, and eligible minutes roll up monthly so the recurring revenue stops slipping past your billing team.
Titration order sets and bone disease
Insulin ladders, GLP-1 escalation, and levothyroxine adjustment each ship with order sets and dose tracking. DEXA returns as structured T-scores by site, surfaces FRAX with risk factors pre-populated, and bisphosphonate, denosumab, and anabolic courses carry duration tracking and drug-holiday prompts.
DSMT, MNT, and care-gap registries
Diabetes Self-Management Training and Medical Nutrition Therapy log to the encounter with attendance and sign-off, so your CDCES and dietitian work becomes a revenue line. Population registries surface the diabetics overdue for an A1c or retinal exam, and recall turns the list into 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 |
|---|---|---|
| CGM and pump ingestion as discrete data | Third-party allergy/device module | Included |
| 200+ reports plus a self-serve report builder | Consulting or ticket | Included |
| Self-check-in kiosk, English and Spanish | Third-party vendor | Included |
| Telehealth, PACS, and DICOM viewer in the chart | Add-on license | 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 next quarter. HIPAA-compliant infrastructure, single-tenant database per practice, and LUKS full-disk encryption at rest in production underpin all of it.
FROM DEVICE UPLOAD TO PAID
One Path, Tracked End to End
The CGM upload lands as discrete data, the trend plots against the target zone, GlaceScribe drafts the note while GlaceIQ surfaces coding and HCC suggestions for your review, the scrubber checks the claim 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 exam room to the deposit, so nothing falls through a handoff between four vendors.
GLACERCM FOR ENDOCRINOLOGY
A Billing Service That Knows Endocrine 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 endocrine code mix and the GLP-1 and pump prior-auth volume, 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 on the GLP-1 and CGM orders your panel runs on.
99%+
Collection rate of payer-allowed amounts*. The dollars the payer contractually owes you actually arrive, because we work the queue to resolution and the CCM, RPM, and CGM-interpretation revenue lands on your books.
$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 endocrine codes
Payer-specific rules check MDM-based E&M, CGM interpretation, CCM and RPM time tiers, DSMT and MNT, thyroid ultrasound, fine-needle biopsy, DEXA, and the cardiometabolic lab panel before submission. Claims that need a fix get fixed before they go out.
Prior auth for GLP-1, pumps, and CGM
Our prior-auth team handles the packets for GLP-1 receptor agonists, dual incretins, PCSK9 inhibitors, pumps, CGMs, growth hormone, and bone-active agents. Documentation is assembled from the chart, a human reviews and submits, and status is visible in your dashboard.
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 on a GLP-1 or pump request. A write-off happens only when you sign off, and the dashboard shows where every disputed dollar stands.
A named billing specialist
A dedicated account manager who knows endocrine 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, 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 endocrine vocabulary, with trend-driven HPI and per-axis assessment. It captures the titration discussion and the device review as structured data. 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 your day: pre-charting from labs, CGM, and pump; A1c trajectory and care-gap prompts inline; HCC and ICD-10 specificity at signing; undercoding detection on MDM; and AI prior-auth packet assembly. 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 overdue A1cs and DEXAs, fills cancellations, and surfaces voicemail summaries so the front desk stops drowning during GLP-1 supply-shortage season.
A practice-branded portal, mobile app, kiosk, SMS, and email round out the stack, with English and Spanish on every patient-facing surface, because diabetes and metabolic care is mostly what happens between visits. Patients log glucose, weight, and hypoglycemia events, request refills, and pay balances under your brand. Replies route back into the chart as structured tasks, so overdue microalbumin, retinal exams, and post-DKA follow-ups get worked on the cadence the care plan calls for instead of piling up in an inbox.
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR
Most endocrinology practices we onboard are leaving a legacy platform that never fit the trend-and-titration 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, and historical A1c, thyroid, calcium, and DEXA values already plotted on the trend charts, with your titration order sets and CGM and pump feeds 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, and you have walked the denial queue with your account manager. Recall and care-gap workflows are 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. CCM, RPM, PCM, DSMT, and MNT are real revenue lines that did not exist before, HCC capture on the Medicare Advantage diabetic panel is climbing, 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 historical A1c, thyroid, calcium, lipid, and DEXA values that make a trend chart meaningful on day one, handled by Glenwood from your prior vendor’s export in 2 to 5 business days. 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. 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 endocrinology practice:
- 99202 to 99215: office E&M with MDM-based selection for complex endocrine visits
- 95249, 95250, 95251: CGM placement, interpretation, and physician interpretation
- 99490, 99439, 99487, 99491: Chronic Care Management time-tier codes
- 99453, 99454, 99457, 99458: Remote Patient Monitoring setup and monitoring
- 99424, 99425, 99426, 99427: Principal Care Management
- G0108, G0109: Diabetes Self-Management Training, individual and group
- 97802, 97803, 97804: Medical Nutrition Therapy
- 83036, 84443, 76536, 60100: A1c, TSH, thyroid ultrasound, and fine-needle biopsy
- 77080, 77081: DEXA, axial and peripheral
QUESTIONS WE HEAR EVERY WEEK
Endocrinology Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Does GlaceEMR pull in CGM and insulin-pump data as structured fields?
Yes. CGM uploads from the major sensor families and pump downloads from the major pump families land in the chart as discrete trendable values, not PDFs. Time-in-range, GMI, average glucose, standard deviation, coefficient of variation, basal rates, bolus history, insulin-on-board, and site-change events populate structured fields in the encounter window. The pump and CGM views share a time axis on screen so you see how the insulin delivery and the glucose response match up on the day that matters to the visit.
How does GlaceRCM handle the GLP-1, pump, and CGM prior-auth load?
The prior-auth team assembles the documentation packet from the chart, including diagnosis specificity, A1c trend, prior therapy failures, BMI history, and payer-specific medical-necessity language. A human reviews and submits, then follows the auth through to approval, peer-to-peer if needed, and appeal if denied. Status is visible in the practice dashboard. The same workflow runs for PCSK9 inhibitors, growth hormone, testosterone, denosumab, and anabolic bone agents.
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. Up to four simultaneous speakers are supported, English and Spanish patient-facing, and all coding and order suggestions surface for physician review before any signing. Nothing reaches the chart until the clinician approves it. Audio is processed in transit, the resulting note is stored in a single-tenant chart database with LUKS encryption at rest, and data never trains a shared model.
How does the CCM and RPM time actually get captured for billing?
Time accrues against the care plan as staff documents in the patient. Care-plan time, phone calls, CGM-review minutes, pump-download review, and care-coordination notes are tracked in the encounter and roll up to the right time-tier code at month-end. RPM device readings flow into the chart and trip threshold reviews. The claim drops on schedule with supporting documentation already in the chart. Most endocrinology practices that switch see CCM and RPM revenue on the books within 60 days of go-live.
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 chart. 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.
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See What Glenwood Can Do for Your Practice
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