NEPHROLOGY
An EMR Built for the Slope, Not the Snapshot
GlaceEMR and GlaceRCM built for the eGFR slope, dialysis MCP billing, ESRD paperwork, vascular access, and renal dosing, 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 NEPHROLOGISTS
You Manage a Curve, but the Chart Shows a Table
Nephrology is the management of trajectory: the slope of the eGFR, the curve of the potassium, the year-over-year drift of the PTH. Almost none of it shows up cleanly in a horizontal EMR built for somebody else’s specialty. Four pains come up in the first thirty minutes of almost every discovery call.
The trajectory is buried in a table
CKD is staged on the slope, but the chart hands you a column of numbers. The transplant-referral conversation starts late because nobody graphs the eGFR until it is already in the 20s.
Dialysis billing has its own grammar
MCP capitation is stratified by age, modality, and visit count. A general billing team writes off the difference between a four-visit and a one-visit MCP because nobody flagged the gap, and the loss compounds across the census.
ESRD paperwork eats hours
CMS-2728, CMS-2746, recerts, and the constant drip of inpatient discharges. When the forms are not in the EMR, somebody is faxing paper and tracking it on a whiteboard, and the audit two years later is stressful.
Stage coding never reflects the panel
N18.9 unspecified versus N18.4 stage-4 sets both the reimbursement and the HCC contribution. On most platforms the problem list still says CKD unspecified five years into a relationship with a creatinine north of 3.0.
GLACEEMR FOR NEPHROLOGY
An EHR Designed Around CKD Trajectory and Dialysis
GlaceEMR is ONC-certified and has run in private nephrology practices for years, with 30+ years of company history behind it. The nephrology configuration is wired in before training starts, so the chart your team opens on day one already knows the slope, the modalities, and the workflows your day actually runs on across the office, the dialysis unit, and the hospital floor.
eGFR slope and automatic CKD staging
The chart graphs the eGFR slope and stages CKD automatically from the trend, not from the last value. The patient whose line is bending toward access planning surfaces a year before the eGFR hits the 20s, so the transplant-referral conversation starts on time.
Dialysis encounter templates for HD and PD
In-center hemodialysis and home-dialysis encounter templates capture the monthly comprehensive visit, the interim visits, and the data the MCP claim depends on. The visit count that drives the capitation tier is a structured field, not a number your biller reconstructs at month-end.
Renal dose-adjustment at the point of order
Every prescription is checked against the current eGFR, including the value that changed last Tuesday at the dialysis unit. The gabapentin dose that just became toxic when the creatinine drifted up half a point gets flagged before it goes out, not after a hospital admission for confusion.
Vascular access registry inside the chart
Access type, placement date, maturation status, surveillance interval, intervention history, and last fistulagram live in the record, not in a spreadsheet in OneDrive. The covering colleague who picks up a patient at midnight sees what the access actually is without calling anyone.
Transplant follow-up workflow
Immunosuppression troughs, DSA panels, BK virus surveillance, and rejection workups run as structured fields with trending, not paper logs the nurse fills out by hand. The transplant patient’s whole story is in the chart, ready for the next visit and for the transplant center.
ESRD forms and rounding on mobile
CMS-2728 and CMS-2746 generate from chart data, so the work the chart already holds proves itself at audit. Native iOS and Android apps let you round from the dialysis floor, sign notes, and review labs from wherever you are, so one chart follows you across all three buildings.
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 |
|---|---|---|
| Multi-site chart across office, dialysis unit, hospital | One login per system | One chart, all sites |
| Hospital ADT, discharge summaries, inpatient results | Interface fee | Included (15+ hospitals) |
| CCM, RPM, and PCM for the chronic renal panel | Separate product | Included |
| 200+ reports plus a self-serve report builder | Consulting or ticket | Included |
| GlaceOffice administration suite (HR, PTO, credentials) | Separate subscription | Included, free for clients |
| Self-check-in kiosk, English and Spanish | Third-party vendor | Included |
Anemia of CKD, mineral bone disease, and renal hypertension workflows ship with KDIGO-aligned decision support, calculators, and trend flowsheets. Quest, Labcorp, BioReference, and 50+ hospital and reference labs connect two-way, so the dialysis-unit potassium and the office creatinine land on the same trend graph.
FROM VISIT TO PAID
The MCP Month, Tracked End to End
The dialysis encounter is documented at the chair, the eGFR slope sets the stage and the diagnosis specificity, the monthly visit count drives the MCP capitation tier as a structured field, GlaceIQ surfaces the stage-accurate ICD-10 for your review, and the scrubber checks the claim against the 90951-90970 rules before it goes out. One chart and one team carry the dollar to the deposit, so the difference between a four-visit and a one-visit MCP never gets written off.
GLACERCM FOR NEPHROLOGY
A Billing Team That Knows MCP, ESRD, and Stage 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 visit count and the stage directly, but if you are staying on your EMR our team works your claims there. The service is built for the dialysis MCP grammar and the Medicare-heavy nephrology payer panel.
95%+
First-pass claim adjudication. Most claims, including age- and visit-stratified MCP 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 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.
MCP visit-count enforcement and stratification
The scrubber reads the documented visit count and bills the 90951-90970 series at the right tier for the patient’s age, modality, and the number of face-to-face visits that month. The difference between a four-visit and a one-visit MCP gets captured instead of written off across a census of forty or fifty patients.
Stage-accurate ICD-10 capture
N18.1 through N18.6, E11.22, I12.9, D63.1, and E83.42 are captured to the stage and complication that match the slope. The single digit that separates an unspecified claim from a stage-4 claim drives both the reimbursement and the HCC contribution, so your problem list reflects the panel you actually carry.
Denials worked to resolution
MCP visit-count denials, stage-specificity denials, and inpatient consult denials get worked, not written off. Appeals are tracked through second-level reviews and peer-to-peer when necessity is disputed. 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 nephrology payer mix in your state, the MCP and ESRD rules, your stage-coding patterns, and your top denials. Not a ticket queue, not an offshore call center. They know your dialysis census and your practice by name within a month of go-live.
Percentage of collections, no base fees. Provider credentialing, payer enrollment with the right place-of-service codes for each dialysis location, Medicare and Medicaid revalidations, 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, so the receptionist is not stuck on a billing call.
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 nephrology writes, with a problem-driven HPI across CKD, diabetes, heart failure, and mineral bone disease, and a plan organized by the slope. It recognizes dialysis-modality and access language. Up to four speakers, in person or telehealth, English and Spanish patient-facing.
GlaceIQ
30+ AI features tuned to your day: pre-charting from the slope and recent labs, a lab interpreter that reads values against stage and trajectory, stage-accurate HCC and ICD-10 suggestions at signing, renal-dosing safety flags, 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, books into real scheduler slots, runs lab-draw and clinic-visit reminders, fills cancellations, and surfaces voicemail summaries so the front desk is not buried while you are rounding at the dialysis unit.
A practice-branded portal, mobile app, kiosk, SMS, and email round out the stack, with English and Spanish on every patient-facing surface. A renal-history intake runs on the kiosk before the visit, monthly lab-due and access-surveillance recalls go out on the cadence the care plan calls for, and a Care Gap and Population Registry view lets you work the whole CKD panel by stage. 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 nephrology practices we onboard are leaving a legacy platform that never followed them from the office to the dialysis unit to the hospital. 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 with CKD stage, current meds, lab trends, access history, and recent results, with your templates, order sets, dialysis encounter layouts, and code favorites already wired in. EMR go-live happens in under one week. By the end of the day your hands start to remember where everything lives.
DAY 30
Rounding on mobile, claims flowing
You are rounding from the dialysis floor on the app and charting faster because the templates match how you document. Your first month of MCP claims is on the dashboard at the right visit-count tier, your stage-coding outliers surface as a real worklist, 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 MCP claims at the right tier, fewer stage-specificity denials, and fewer denials in the 60-to-90 bucket. Stage-accurate coding is lifting HCC capture on your Medicare panel, the access-surveillance queue is no longer slipping, and the conversation turns from migration triage to using the platform harder next quarter.
Data migration covers historical records, problem lists with CKD stage, lab trending, access and transplant history, 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 nephrology practice:
- 99213, 99214, 99215: office E&M, established patient
- 90951–90962: ESRD monthly capitation, in-center, age-stratified, visit-count tiers
- 90963–90966: ESRD home dialysis MCP, age-stratified
- 90967–90970: ESRD daily capitation for partial-month and hospitalized patients
- 99490, 99439, 99491: Chronic Care Management
- 99424, 99425, 99426, 99427: Principal Care Management
- N18.1–N18.6, E11.22, I12.9, D63.1, E83.42: CKD stage-specific and complications
- CMS-2728, CMS-2746: ESRD medical-evidence and death-notification forms
QUESTIONS WE HEAR EVERY WEEK
Nephrology Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Does GlaceEMR handle the MCP 90951-90970 series natively?
Yes. The dialysis encounter templates capture the monthly comprehensive visit and the interim visits, and the face-to-face visit count is a structured field rather than a number your biller reconstructs at month-end. The scrubber then bills the 90951 through 90970 series at the right tier for the patient’s age, modality, and visit count, so the difference between a four-visit and a one-visit MCP gets captured instead of written off. Across an in-center census of forty or fifty patients a month, that visit-count discipline is the single most common place a nephrology practice recovers revenue a general billing team was quietly losing. Home-dialysis MCP and the daily capitation codes for partial-month and hospitalized patients are handled the same way.
How does GlaceEMR handle CKD staging and the eGFR slope?
The chart graphs the eGFR over time and stages CKD automatically from the slope, not from the most recent value. The patient whose line is bending toward access planning surfaces a year before the eGFR is in the 20s, so the transplant-referral and access-planning conversations start on time instead of late. Because the staging is structured, it also drives the diagnosis specificity: the problem list moves from CKD unspecified to the stage that matches the trajectory, which is the difference between an N18.9 claim and an N18.4 claim and the difference in the HCC contribution. The slope, the potassium curve, and the PTH drift all live on trend graphs and flowsheets, so the data that runs your decision-making is the data the chart shows you first.
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 or your dialysis rounds. 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 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, payer panel, dialysis census, and 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 the scrubber reading the visit count and the CKD stage directly from 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, Medicare and Medicaid revalidations, statements, or the call center your patients use, because all of that is part of the service.
How does the platform support transplant follow-up and access surveillance?
Both live in the chart as structured workflows rather than in spreadsheets or paper logs. The vascular access registry holds access type, placement date, maturation status, surveillance interval, intervention history, and last fistulagram, and it drives a surveillance recall list so the access work does not slip. The transplant follow-up workflow tracks immunosuppression troughs, DSA panels, BK virus surveillance, and rejection workups with trending over time. Because all of it is in one chart that follows you across the office, the dialysis unit, and the hospital, the covering colleague who picks up your patient at midnight sees what the access actually is and where the transplant patient stands without calling anyone, and C-CDA and FHIR exchange keeps the transplant center and the hospital in sync on shared patients.
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If you carry adjacent panels, see how GlaceEMR runs internal medicine, endocrinology, cardiology, and geriatrics.
See What Glenwood Can Do for Your Practice
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