GASTROENTEROLOGY
Built for the Scope Schedule, the Surveillance Interval, and the Biologic
GlaceEMR and GlaceRCM built for the endoscopy report, the polyp and Barrett’s surveillance interval, the screening-to-diagnostic modifier, and the IBD biologic, charged 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 GASTROENTEROLOGISTS
Two Practices in One, and the Chart Fits Neither
Gastroenterology is a chronic-disease clinic and an endoscopy operation at the same time. Horizontal EHRs treat the scope as just another order and the surveillance date as just another follow-up, and the record falls apart the moment your day starts. Four pains come up in the first thirty minutes of almost every discovery call.
The report is the bottleneck
The scope is fast; the chart is slow. Dictate, transcribe, link pathology, send to the referrer, finalize. The procedure schedule slips half an hour every Friday because the chart was not built for an endoscopy operation.
Screening versus diagnostic is a landmine
A screening colonoscopy that converts mid-procedure changes the modifier and the patient’s cost-share. Get modifier 33 or PT wrong and the patient gets a surprise bill, the front desk eats the call, and the practice writes off the adjustment.
Surveillance intervals get lost
The advanced-adenoma patient needs a three-year repeat, not the five-year default. When the next-scope date is free text in a follow-up plan nobody reads, the abnormal biopsy sits in a folder for eleven months and the gap becomes a liability.
IBD biologics eat your margin
Each infliximab, vedolizumab, ustekinumab, or risankizumab dose needs prior auth, a J-code, a units calculation, and buy-and-bill accounting. Miss one of the four and a single infusion becomes a four-figure write-off.
GLACEEMR FOR GASTROENTEROLOGY
A Chart Built Around the Surveillance Interval
GlaceEMR is ONC-certified and has run in private gastroenterology practices for years, with 30+ years of company history behind it. The gastroenterology configuration is wired in before training starts, so the chart your team opens on day one already knows the scope schedule, the surveillance workflows, the codes, and the conditions your day actually runs on.
Endoscopy report templates that match how you scope
Structured colonoscopy, EGD, ERCP, and EUS templates capture findings, interventions, Boston bowel-prep score, and withdrawal time as discrete fields. The report is ready to send to the referrer before the next patient is draped, and the quality measures fall out of the documentation.
Polyp and Barrett’s surveillance engine
The next-scope date is a structured field driving a recall list, not a comment buried in an addendum. Polyp pathology, Barrett’s dysplasia grade, and HCC screening for cirrhotics all set the interval, so the patient’s safety net is the system’s job, not a spreadsheet’s.
Quality metrics captured at the case
Adenoma detection rate, cecal intubation rate, withdrawal time, and post-polypectomy surveillance compliance accrue from the case documentation. When the auditor calls, your ADR by provider is defensible on a screen, not reconstructed from a binder by your endoscopy manager.
IBD biologic management and disease-activity tracking
A biologic tracker per IBD patient: drug, dose, last-given and next-due dates, and prior-auth status, with Mayo and Harvey-Bradshaw activity scoring trended over time. Your billing team sees which auths expire before the patient calls to ask why their infusion got delayed.
Hepatology workflow and HCC surveillance
Hepatitis C treatment milestones and SVR tracking, cirrhosis staging, and six-month HCC surveillance recalls run as structured workflows. The imaging and AFP results that drive the surveillance decision sit one click from the encounter, not in a fax pile.
Pathology, capsule, and motility results
Outside pathology, capsule endoscopy reads, and esophageal pH and motility studies link cleanly to the originating procedure and the surveillance tracker. The abnormal biopsy triggers the right repeat interval and lands on the recall queue, so the loop closes instead of leaking.
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 date and price increase. They ship with GlaceEMR, with no tier games at renewal.
| Capability | Most EMRs | GlaceEMR |
|---|---|---|
| PACS and DICOM viewer for imaging in the chart | Add-on license | Included |
| ASC and hospital-outpatient site-of-service support | Interface or module fee | Included |
| 200+ reports plus ADR and surveillance dashboards | Consulting or ticket | Included |
| Self-check-in kiosk, 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 a multi-provider group across offices and an ASC on the same platform, with two-way connections to Quest, Labcorp, BioReference, and 15+ hospitals for ADT and inpatient results, and no per-location upcharge when you add a site next quarter.
FROM SCOPE TO PAID
The Procedure Day, Tracked End to End
The structured template finalizes the report before the next case, the pathology links back to the procedure and sets the surveillance interval, GlaceIQ surfaces the screening-to-diagnostic modifier for your review, and the scrubber checks every claim against payer rules before it goes out. One chart and one team carry the dollar from the suite to the deposit, so the abnormal biopsy never sits in a folder for eleven months.
GLACERCM FOR GASTROENTEROLOGY
A Billing Team That Knows Endoscopy, Modifiers, and J-Codes
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 procedure report and the modifier logic, but if you are staying on your EMR our team works your claims there. The service is built for the endoscopy code mix and the IBD biologic panel.
95%+
First-pass claim adjudication. Most claims, including screening-to-diagnostic conversions and infusion J-codes, 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 arrive, because we work the queue to resolution instead of writing it off 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.
Screening-to-diagnostic modifier handling
The scrubber reads the procedure report and drives the bill: modifier 33, modifier PT, screening Z-codes, and the G0105 and G0121 Medicare set. The screen-turned-diagnostic conversion is coded right the first time, so the patient does not get a surprise out-of-pocket bill they were promised they would not see.
IBD biologic prior auth and J-code capture
Infliximab, vedolizumab, ustekinumab, and risankizumab auths are assembled with step-therapy documentation and disease-activity scores. The administration J-code, units math, and wastage modifiers are handled at the chair, and buy-and-bill routing is flagged before the dose is given.
ASC, office, and hospital-outpatient split
Each case is billed to the right site of service with the right place-of-service code and facility split. Whether the scope ran in your ASC, your office, or a hospital outpatient department, the professional and facility components land on the correct claim instead of a denial.
A named billing specialist
A dedicated account manager who knows GI payer mix in your state, the endoscopy and modifier rules in your top plans, your IBD J-codes, 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, denials worked to resolution, daily patient statements, and a US-based billing call center are part of the service, not separate line items. Denials are tracked through appeals and second-level reviews; a write-off happens only when you sign off. Your patients call our team about a procedure-day balance, not your front desk.
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. 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 structured the way GI writes, with a symptom-driven HPI and a plan organized by workup and surveillance. It recognizes IBD activity language, hepatitis milestones, and reflux and Barrett’s phrasing. Up to four speakers, in person or telehealth, English and Spanish patient-facing.
GlaceIQ
30+ AI features tuned to your day: pre-charting from recent pathology and labs, surveillance-interval prompts, screening-modifier flagging, AI-assembled prior-auth packets, and per-code reimbursement at charge entry. You review and select each suggestion.
GlacePhoneSmart
An AI phone agent answers as your practice in English or Spanish, handles the bowel-prep questions that flood the line before procedure day, books into real suite slots, fills cancellations, and surfaces voicemail summaries so the front desk stops drowning.
A practice-branded portal, mobile app, kiosk, SMS, and email round out the stack, with English and Spanish on every patient-facing surface. Bowel-prep instructions and prep-day reminders push before the scope, surveillance-overdue and screening-due recalls go out on the cadence the interval calls for, and replies route back into the chart as structured tasks instead of piling up in an inbox somebody reads on Monday.
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR
Most GI practices we onboard are leaving a legacy platform or a standalone endoscopy-reporting tool that never connected to the 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, active problem lists, prior procedure reports, pathology, and surveillance intervals, with your endoscopy templates, order sets, and code favorites already wired in. EMR go-live happens in under one week. The first cases run slower because the workflow is new; by end of day your hands start to remember where everything lives.
DAY 30
Reports finalizing, claims flowing
Your endoscopy reports finalize before the next case because the templates match how you scope, and GlaceScribe carries most of your clinic HPIs. The first month of procedure claims is on the dashboard, the screening-modifier logic is running, and your surveillance recall list is live and filling next quarter’s schedule.
DAY 90
The switch starts paying for itself
Your first quarter’s dashboard shows cleaner procedure claims, fewer screening-modifier denials, and fewer denials parked in the 60-to-90 bucket. ADR and withdrawal-time reporting run themselves, the surveillance queue is no longer slipping, GlacePhoneSmart has cut prep-question call volume, and the conversation turns from migration triage to using the platform harder next quarter.
Data migration covers historical records, prior procedure reports, pathology, surveillance intervals, problem lists, medications, allergies, and outstanding orders, handled by Glenwood from your prior vendor’s data 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 while the new platform 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 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 gastroenterology practice:
- 45378, G0121, G0105: diagnostic colonoscopy and Medicare screening codes
- 45380, 45385: colonoscopy with biopsy and with snare polypectomy
- 43235, 43239, 43249: EGD diagnostic, with biopsy, with dilation
- 43260-43278: ERCP family with stenting, sphincterotomy, biopsy
- 43259, 43242: EUS diagnostic and EUS with FNA
- Modifier 33, PT: preventive identifier and screen-turned-diagnostic
- 91110, 91111, 91113: capsule endoscopy esophageal, small bowel, and colon
- 96365, 96413: therapeutic and complex infusion codes for IBD biologics
QUESTIONS WE HEAR EVERY WEEK
Gastroenterology Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
How does GlaceEMR handle the polyp and Barrett’s surveillance interval?
The next-scope date is a structured field, not a free-text comment in a follow-up plan. Polyp pathology, the number and size of adenomas, advanced histology, Barrett’s dysplasia grade, and HCC screening in cirrhotic patients all set the interval, and the chart drives a recall list off that date. The advanced-adenoma patient who needs a three-year repeat lands on the recall queue at the right time instead of getting the five-year default, and outside pathology that comes back abnormal links to the originating procedure and updates the interval automatically. Your surveillance-overdue roster is a live worklist you can run by interval, by provider, and by site, so the patient’s safety net is the system’s job rather than a spreadsheet your endoscopy manager keeps in OneDrive.
Does GlaceRCM handle the screening-to-diagnostic modifier conversion correctly?
Yes. The scrubber reads the procedure report and drives the bill: modifier 33 for the preventive identifier, modifier PT for the screen-turned-diagnostic conversion, the screening Z-codes, and the G0105 and G0121 Medicare set. When a planned screening colonoscopy converts mid-procedure because you found and removed a polyp, the claim reflects the conversion with the right cost-share so the patient does not get a surprise out-of-pocket bill they were promised they would not see. Across a typical GI practice, the screening-to-diagnostic mishandling alone is a five-figure annual leak, and getting it right the first time is the single most common reason a GI group sees a clean change in collections after they switch.
How does the platform support IBD biologic prior auth and J-code capture?
GlaceIQ assembles the prior-auth packet from the chart for infliximab, vedolizumab, ustekinumab, and risankizumab: diagnosis, prior failed agents, disease-activity scores, and step-therapy attestations. Our billing team finishes, validates, and submits, and follows the auth through to decision. On the infusion itself, the administration J-code, the NDC units math, originator versus biosimilar Q-codes, and the JW and JZ wastage modifiers are handled at the chair, and buy-and-bill versus white-bagged routing is flagged before the dose is given rather than reconstructed at end of day. Miss any one of those four and a single infusion becomes a four-figure write-off, which is exactly the leak the workflow is built to close on an IBD panel running two hundred patients on biologics.
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 clinic. 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.
Do you support ASC and hospital-outpatient site-of-service billing, and can we keep our EMR?
Yes on both. Each case is billed to the right site of service with the right place-of-service code and the right professional and facility split, whether the scope ran in your own ASC, your office, or a hospital outpatient department. On the EMR question, we would rather run the full GlaceRCM bundle, where the billing quality depends on the scrubber reading the procedure report and the modifier logic directly, 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, billed at a percentage of collections with no base fees.
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If you carry adjacent panels, see how GlaceEMR runs internal medicine, family medicine, colorectal surgery, and hepatology.
See What Glenwood Can Do for Your Practice
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