GERIATRICS
Run Your Geriatrics Practice Without Hunting for the G-Code
GlaceEMR and GlaceRCM built for the frail multimorbid panel: AWV, cognitive screen, falls workup, deprescribing, ACP, and HCC capture in one pass, 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 GERIATRICIANS
The Chart Was Built for a Younger Patient
Geriatrics is the one specialty where deprescribing is harder than prescribing and function matters more than the lab value, and almost no horizontal EHR was built to hold any of it. Four pains come up in the first thirty minutes of nearly every discovery call.
Polypharmacy eats the visit
Twelve to twenty meds across two pharmacies, and the fill data, the patient report, and the chart never agree. The most cognitively expensive task you do runs as a mental tally on a notepad.
AWV documentation scattered
Cognitive, depression, falls, ADL and IADL, ACP, and HCC all required in forty minutes, all in different parts of the chart. You finish, then hunt for the right G-code prompts.
CCM, PCM, TCM left on the table
Care-management programs pay reliably when time is captured against a care plan. When staff fights a separate module to log a minute, the revenue never reaches the claim.
Uneven HCC and RAF capture
Your frail multimorbid patient earns a 1.6 RAF on the work you do and codes at 1.1 because the structured data did not land where the auditor looks. The gap surfaces too late to fix.
Underneath those four sit the same structural problems: clinic, SNF, ALF, and house-call billing each behave differently, caregivers cannot reach the chart cleanly, and the software bill keeps growing for things that should be one product.
GLACEEMR FOR GERIATRICS
An EHR Designed Around the Frail Multimorbid Patient
GlaceEMR is ONC-certified, with 30+ years of company history behind it, and the geriatric configuration is wired in before training starts. Every capability below ships in the platform today, not as a roadmap promise.
AWV template with cognitive, functional, and HCC capture
One template carries cognitive screen, depression screen, ADL and IADL, ACP, falls history, and HCC capture in a single ordered pass. Initial G0438 and subsequent G0439 logic is wired in, so the AWV add-ons are not chased after the fact.
Cognitive instruments, auto-scored and trended
MoCA, Mini-Cog, SLUMS, GDS, and PHQ-9 score in the chart with the right G-code surfaced alongside, and trend on the patient dashboard. A declining MoCA across a year is visible at a glance, not buried in prose.
Polypharmacy Analyzer with Beers and anticholinergic burden
Beers-Criteria concerns, anticholinergic burden, interactions, and deprescribing opportunities on one screen with the reasoning attached. MedReconciliation reconciles pharmacy fill data, patient report, and chart, so the three lists finally agree.
Falls (STEADI) and functional status
The STEADI flow runs at the AWV and every high-risk visit, with PT referral, home-safety eval, and assistive-device orders pre-built. Katz ADL and Lawton IADL trend over time, so the slipping score is impossible to miss when the family asks about driving or assisted living.
ACP, POLST, and dementia care under 99483
The ACP template carries time capture, POLST and advance-directive upload, proxy contacts, and a code-status banner that follows the chart clinic to facility to home. The 99483 cognitive care-plan template runs every required element and prints a signed plan for the caregiver.
SNF rounds, house calls, and caregiver proxy
15+ hospital interfaces deliver ADT and discharge summaries. SNF roster rounding routes POS 31 or 32, native iOS and Android apps work the home for POS 12, and scoped caregiver proxy accounts carry consent on file with a full audit trail. GlaceIQ and GlacePhoneSmart fill openings so AWVs stop leaking.
Included with GlaceEMR vs usually an add-on
When you price out another EMR for a geriatrics practice, 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 its own price increase every twelve months. They ship with GlaceEMR.
| Capability | Most EMRs | GlaceEMR |
|---|---|---|
| CCM, PCM, BHI, RPM, and TCM time tracking | Separate vendor | Included |
| Native iOS and Android apps for SNF and house calls | Mobile-web only | 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 |
| Multi-location, multi-facility, role-based access | Per-location upcharge | Included |
Grow from solo to a multi-provider group across clinic, multiple SNFs, ALFs, and house-call routes on the same platform, with no per-location upcharge and no contract to renegotiate when you add a facility next quarter.
FROM AWV TO PAID
One Path, Tracked End to End
GlaceScribe drafts the note, GlaceIQ surfaces HCC and coding suggestions for your review, the scrubber checks every claim 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, the SNF, or the living room to the deposit, so nothing falls through a handoff between four vendors.
GLACERCM FOR GERIATRICS
A Billing Service That Knows Medicare Economics
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 geriatric code mix and the Medicare-driven payer panel.
95%+
First-pass claim adjudication. Most claims pay on the first submission, with no rework and no calendar lost to denial follow-up on a Medicare-heavy panel.
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, ACP, CCM, and 99483
Payer-specific rules check the mix a geriatric practice bills (AWV, ACP, 99483, CCM, PCM, TCM, SNF, and house-call codes) before submission. Claims that need a fix get fixed before they go out, not after a denial returns four weeks later.
Medicare, MA, and Medicaid duals
Primary and secondary coordination across MA HMO, MA PPO, traditional Medicare with supplement, and dual-eligible cases is handled inside the workflow. ERA posting, crossover, and patient responsibility calculate correctly for the frail patient with limited means.
Multi-POS and denials worked to resolution
Office (POS 11), SNF (POS 31 and 32), ALF (POS 13), and home (POS 12) route automatically by encounter type. We do not drop a denial at 90 days: appeals carry LCD citations, and a write-off happens only when you sign off.
A named billing specialist
A dedicated account manager who knows your state’s geriatric payer mix, the codes you bill, your top denials, and the facilities your providers round in. 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, prior auth, daily patient statements, and a US-based billing call center are part of the service, not separate line items. Your patients and their adult children call our team about a balance, not your front desk, and soft collections are handled in-house. Agency escalation only happens on your explicit sign-off, never automatic on a frail patient.
AI AND CAREGIVER 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 clinical judgment stays 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 structured the way geriatrics writes: cognitive and functional findings as discrete data, deprescribing rationale captured cleanly, and the goals-of-care conversation documented in full. Up to four speakers attributed correctly, so the caregiver in the room feeds the note instead of scrambling it. English and Spanish patient-facing.
GlaceIQ
30+ AI features tuned to your day: HCC suspect logic during the AWV, pre-charting from the chronic list and recent ADT, care-gap prompts inline, refill safety with deprescribing logic, 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, so older patients and adult-child callers reach a voice instead of voicemail. It books AWVs and follow-ups into real scheduler slots, runs recall and refill triage, accepts payments over the phone, and escalates urgent issues to staff.
A practice-branded portal, mobile app, kiosk, SMS, and email round out the stack, with English and Spanish on every patient-facing surface and scoped proxy access for the caregivers who do most of the work. The 84-year-old who only answers the phone and the daughter who only reads text both end up on the schedule, both finish intake before they arrive, and both pay a balance without the front desk lifting a finger. AWV recall, vaccination, and gap-closure outreach run from the chart on the cadence the care plan calls for.
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR
Most geriatric practices we onboard are leaving a legacy platform that never matched a provider who rounds in three buildings before lunch. 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, current meds, advance directives, and recent results, with your AWV templates, STEADI workflow, 99483 template, Beers alerts, and code favorites 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 a geriatric assessment, and GlaceScribe carries most of your HPIs and goals-of-care notes. Your first month of CCM and TCM time has rolled into a claim, the first submissions are on the dashboard, and recall and care-gap workflows are filling tomorrow from the list.
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, PCM, TCM, RPM, and 99483 are real revenue lines that did not exist before, HCC capture on the Medicare Advantage 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, current medications, allergies, advance directives, and outstanding orders, 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, 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. The list below is the short version of what runs every day inside the platform for a geriatric practice:
- G0438, G0439: Annual Wellness Visit, initial and subsequent
- 99483: cognitive assessment and care plan
- 99497, 99498: Advance Care Planning
- 99490, 99439, 99487, 99489, 99491: Chronic and complex Care Management
- 99495, 99496: Transitional Care Management
- 99304-99310: SNF initial and subsequent visits
- 99341-99350: home-visit codes, new and established
- G2211, G0444: continuity add-on and depression screening
QUESTIONS WE HEAR EVERY WEEK
Geriatrics Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Does GlaceEMR handle CCM, PCM, and TCM time tracking natively for a geriatric panel?
Yes, all three are in the chart, not in a separate add-on you have to plug in. Your staff documents in the patient and the time accrues against the care plan automatically. Eligible minutes roll up at month-end, the claim drops on schedule, and you stop watching that revenue evaporate every quarter on a Medicare-driven panel. Hospital ADT triggers the TCM workflow with the seven-day call timer running, so the discharge from Tuesday gets the call that funds 99495 or 99496 before the window closes. Most geriatric practices that switch see real CCM and TCM dollars on the books inside 60 days of go-live, because you were always doing the work; you just had nowhere to log it.
How does GlaceRCM handle Medicare Advantage HCC and RAF capture on a frail panel?
When you sign the note, GlaceIQ flags HCC-relevant conditions you mentioned in the documentation but never added to the encounter’s diagnosis list. You decide which ones belong on the claim. Your billing team also runs an annual sweep on every Medicare Advantage patient you have not seen yet, so the chronic conditions that need annual re-documentation get back in front of you inside the calendar year they have to be coded. Your RAF score ends up reflecting the frail multimorbid panel you actually take care of. If you are in an ACO with Aledade, Arcadia, Innovaccer, or FigMD, the same structured data exports cleanly to the partner platform.
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 (provider, patient, caregiver, plus an interpreter or home-health nurse if needed), 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 actually 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, your payer panel (the balance of traditional Medicare, MA plans, Medicaid duals, and supplements), and your 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 call center your patients use, because all of that is part of the service.
How does the platform handle SNF, ALF, and house-call billing in one workflow?
Native iOS and Android apps follow the provider into the facility or the home. SNF rounds pull the active resident roster for each facility, let you check off who was seen and the visit level, and route POS 31 or 32 with initial-versus-subsequent SNF visit logic enforced at scrub. ALF visits route to POS 13. Home visits route to POS 12, with prolonged-service add-ons captured in the same encounter you documented. The provider who rounds in three buildings before lunch, sees clinic patients in the afternoon, and finishes the day with two home visits charges out of one chart, with each visit landing in the right POS bucket before submission.
“[Specialty-specific testimonial quote, replace with verified Geriatrics physician quote or remove this card.]”
[Physician Name, MD]
[State]
If you carry adjacent panels, see how GlaceEMR runs internal medicine, family medicine, cardiology, and endocrinology.
See What Glenwood Can Do for Your Practice
A 20-minute working call. We show you the platform on your specialty’s actual workflows, not a generic demo.