NEUROLOGY
An EHR Built for the Long Arc of Neurology
MS therapy with MRI surveillance, epilepsy with AED levels and seizure diaries, infusion biologics with J-code billing, the new Alzheimer antibodies with ARIA monitoring, and EMG and NCS coding all in one chart, 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 NEUROLOGISTS
A Chart That Cannot Hold a Multi-Year Disease
Neurology manages conditions measured in years, not visits, and the horizontal EMR most neurologists run was built for somebody else’s single complaint. Four pains come up in the first thirty minutes of almost every discovery call, and each one quietly costs you a missed referral, leaked revenue, or both.
Seizures and scans live in free text
Frequency, type, trigger, and AED changes scatter across two years of notes, and EEG and MRI arrive as PDFs nobody can search. The drug-resistant threshold is not a field, so the epilepsy-center referral that should have happened two years ago never gets made.
Infusion revenue leaks every month
Ocrelizumab, natalizumab, eptinezumab. Each carries authorization, infusion scheduling, structured notes, and J-code billing with units and waste spread across four systems. A six-figure share of infusion revenue quietly leaves the building every year.
Alzheimer antibodies have nowhere to live
Lecanemab and donanemab demand ApoE4 status, ARIA-E and ARIA-H grading per surveillance MRI, dose-pause documentation, and consent tracking. Most platforms have no place for any of it, so a high-cost program runs on a chart not designed for it.
EMG, NCS, and PREEMPT bill wrong
NCS add-on tables cascade by study count, EMG codes depend on muscles needled, and chemodenervation needs the J0585 unit math and waste documentation exact. When the note and the claim live in different systems, the documentation never supports the bill.
GLACEEMR FOR NEUROLOGY
An EHR Built for Neurology, Not Adapted to It
GlaceEMR is ONC-certified and has run in private neurology practices for years, with 30+ years of company history behind it. The neurology configuration (structured neuro exam, seizure diary, headache log, MS DMT and MRI surveillance, infusion flowsheet, PREEMPT diagram, ARIA grading, EMG and NCS templates) is wired in before training starts, so the chart your team opens on day one already knows the conditions, the scales, and the workflows your day runs on. Every capability below ships today.
Structured seizure diary and AED tracking
Frequency, seizure type, trigger, postictal description, breakthrough events, and AED levels live as discrete fields that trend across years. The two-failed-AEDs drug-resistant threshold becomes visible, so the comprehensive-epilepsy-center referral gets made on time instead of two years late.
MS disease-modifying therapy and MRI surveillance
EDSS, relapse history, the current DMT, and the T2 lesion count from each surveillance MRI trend on one screen. The serial picture that defines an MS panel is on the chart at a glance, not reconstructed from three pages of report text every visit.
Infusion suite and ARIA monitoring
The infusion flowsheet captures chair-time, pre-meds, infusion-rate steps, reactions, and observation as discrete data. For lecanemab and donanemab, ApoE4 status sits in the header, ARIA-E and ARIA-H grading lands per MRI, and the chart links infusion cadence to MRI cadence so no infusion is scheduled with a missing surveillance scan.
Headache log and PREEMPT injection map
A structured headache diary tracks frequency, MIDAS, and CGRP eligibility. The PREEMPT injection map documents the 155 units across 31 fixed and 8 follow-the-pain sites, and the unit and waste documentation produces the chemodenervation claim with a chart-to-claim trace that is auditable end to end.
EMG and NCS templates with PACS
Templated EMG and NCS reports capture the muscles needled and the study count, so the code mix follows the work. Order brain and spine MRI from inside the encounter and read images alongside the report in the same chart, with the comparison study one click away, no add-on viewer license.
eRx with EPCS, labs, and hospital feeds
Surescripts e-prescribing with EPCS, identity proofing, and interaction alerts tuned to neurology polypharmacy. 60+ two-way lab interfaces bring AED levels and DMT monitoring back with abnormal flags, and ADT and discharge feeds from 15+ hospitals put the post-stroke and post-status patient on your TCM schedule.
Included with GlaceEMR vs usually an add-on
When you price out another EMR for a neurology 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 |
|---|---|---|
| Infusion flowsheet with J-code unit and waste capture | Separate infusion log | Included |
| PACS and DICOM viewer for brain and spine MRI | Add-on license | Included |
| Headache and seizure diary patient portal | Third-party vendor | Included |
| CCM, PCM, BHI, TCM time tracking | Separate module | 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 an infusion suite or a satellite next quarter.
FROM INFUSION TO PAID
One Path, Tracked End to End
GlaceScribe drafts the note, GlaceIQ suggests the 96365 through 96368 infusion hierarchy and prices J-codes by NDC with units and waste from the vial log for your review, the scrubber checks the EMG, NCS, and chemodenervation claims against payer rules before they go out, and your named billing specialist works the queue to resolution. The same chart and the same team carry the dollar from the infusion chair to the deposit, so nothing falls through a handoff between four different vendors.
GLACERCM FOR NEUROLOGY
A Billing Service That Knows Neurology 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 chemodenervation, infusion, and EMG lines and the prior-authorization workload that drains a neurology front desk.
95%+
First-pass claim adjudication. Most neurology 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.
Infusion and J-code unit math
The 96365 through 96368 hierarchy, with 96413, 96415, and 96417 where applicable, billed from the infusion flowsheet. J-codes priced by NDC with units and waste from the vial log, and the chemodenervation case (64615 plus J0585) billed from the PREEMPT documentation. Recoverable infusion-line dollars show up on the first month’s dashboard.
EMG and NCS scrubbing
The NCS add-on tables (95907 through 95913) and the EMG limb codes (95860 through 95864) are scrubbed against NCCI edits, the same-day separate-procedure rules, and payer-specific bundling. The code mix that fails routinely elsewhere clears because the scrubber understands what neurology actually billed.
Prior auth assembled from the chart
CGRP inhibitors, MS DMT, the Alzheimer antibodies, and botulinum-toxin renewals carry a documentation packet, a portal submission, and a peer-to-peer when the first attempt denies. Our team assembles the packet from the encounter that already happened and works it to approval, instead of building it from scratch every time.
A named billing specialist
A dedicated account manager who knows neurology payer mix in your state, the infusion and EMG 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, and credentialing and payer-and-infusion-site 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 on the chemodenervation, infusion, and EMG lines is worked to resolution through appeals and peer-to-peer; 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 neurology, with a structured neuro exam and a per-problem assessment. Up to four speakers, so the dementia visit with an adult-child caregiver or the MS visit with a spouse threads both voices into the right parts of the note. 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 the seizure diary and surveillance MRI, the infusion code hierarchy and J-code waste math, HCC and ICD-10 suggestions at signing, and denial prediction before submission. AI assembles CGRP, MS DMT, and Alzheimer-antibody 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 infusion and follow-up slots, runs recall for the 12-week and 24-week infusion cycles and botulinum-toxin renewals, fills cancellations, and surfaces voicemail summaries so the front desk stops drowning in prior-auth callbacks.
A practice-branded portal, mobile app, kiosk, SMS, and email round out the stack, with English and Spanish on every patient-facing surface. The MS patient who only opens email and the migraine patient 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 infusion-cycle reminders, post-stroke check-ins, and overdue surveillance MRIs get worked on the cadence the care plan calls for.
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR
Most neurology practices we onboard are leaving a legacy platform that never fit the infusion suite, the EMG lab, and a multi-year disease panel. 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, seizure diary, MS surveillance, infusion flowsheet, PREEMPT diagram, and EMG and NCS templates 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. The infusion suite is billing cleanly with units and waste captured, the first submissions are on the dashboard, and you have walked the denial queue with your account manager. Recall for the infusion cycles is live.
DAY 90
The switch starts paying for itself
Your first quarter’s dashboard shows cleaner infusion, chemodenervation, and EMG claims, faster posting, and fewer denials parked in the 60-to-90 bucket. The infusion-line recovery is visible, prior auth runs on a managed cadence instead of a firefight, and GlacePhoneSmart has visibly cut front-desk call volume.
Data migration covers historical records, documents, images, problem lists, current 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 and infusion-site 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 (core clinical first, then infusion-suite, PREEMPT, EEG and EMG, and ARIA modules), 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 neurology practice:
- 99202 to 99215: office E/M with MDM-based selection and prolonged service add-ons
- 95812, 95813, 95816, 95819, 95822, 95957: routine, prolonged, and digital EEG analysis
- 95907 to 95913: nerve conduction study add-on tables (1-2, 3-4, 5-6, 7-8, 9-10, 11+ studies)
- 95860, 95861, 95863, 95864: needle EMG by limb count
- 64615, J0585: chemodenervation for chronic migraine (PREEMPT, 155 units across 31 fixed and 8 follow-the-pain sites)
- 96365, 96366, 96367, 96368, 96413, 96415, 96417: infusion code hierarchy
- J2350, J2323, J3032: ocrelizumab, natalizumab, and eptinezumab J-codes
- 99483: cognitive assessment and care-plan for dementia
- 99490, 99439, 99491, 99437, 99424, 99425: CCM and PCM for the chronic neurological panel
- 99495, 99496: TCM for the post-stroke and post-status-epilepticus discharges
QUESTIONS WE HEAR EVERY WEEK
Neurology Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Does GlaceEMR handle infusion billing and the J-code unit math correctly?
Yes. The infusion flowsheet captures chair-time, pre-medications, infusion-rate steps, reactions, and the post-infusion observation period as discrete data. From that, GlaceIQ suggests the primary, sequential, and concurrent code hierarchy (96365, 96366, 96367, 96368, with the chemotherapy-class 96413, 96415, 96417 where applicable) and prices the J-codes by NDC with units and waste calculated from the vial log. The provider confirms before the charge releases. The chemodenervation case (64615 plus J0585) is the same pattern: the PREEMPT injection-map documentation produces the unit count, the waste documentation produces the waste line, and the chart-to-claim trace is auditable end to end. Practices that switch from a setup where infusion records lived outside the EHR typically see the infusion-line recovery start showing up on the first month’s dashboard.
How does GlaceEMR handle ARIA monitoring for lecanemab and donanemab?
The amyloid-antibody workflow is structured end to end. ApoE4 status sits in the chart header. Each surveillance MRI captures ARIA-E and ARIA-H grading as discrete fields. The chart links the infusion cadence to the MRI cadence, so an infusion does not get scheduled when the prior MRI is missing or the prior ARIA grade has not been reviewed. Dose-pause and dose-resume documentation lives in the chart, with the rationale and the physician signature. Caregiver education and informed-consent tracking are part of the workflow, in English and Spanish. The program runs with the surveillance, the infusion, and the documentation on the same data, and the J-code billing on the new amyloid antibodies is supported alongside.
Is GlaceScribe HIPAA-compliant, and how does it handle a caregiver-present visit?
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, so the dementia visit with a patient and an adult-child caregiver, or the MS visit with a spouse, gets documented with both voices threaded into the right parts of the note. English and Spanish patient-facing, and all coding and order suggestions surface for your review before any signing. Audio is processed in transit, the 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 the GlaceRCM pricing actually look like for a neurology practice?
You pay a percentage of what we collect. No base fees, no implementation charges, no setup fees, no monthly minimums. The exact percentage depends on your code mix (infusion-heavy versus EMG-heavy versus general neurology), your payer panel, and your volume, and you will have it in your hand after a 20-minute discovery call. The contract is straightforward: we get paid when you get paid. You will not see a surprise line item for credentialing, for denial follow-up, for prior auth, for patient statements, or for the call center your patients use to ask about their bills, because all of that is part of the service. The 95%+ first-pass adjudication and 99%+ collection rate of payer-allowed amounts are how we operate across our active client base. If your current biller is running below those numbers on the chemodenervation, infusion, and EMG lines, what we charge tends to pay for itself out of the dollars you start collecting that you were quietly writing off before.
Do we have to switch EHRs to use GlaceRCM?
Not necessarily. We would rather you run on the full GlaceRCM bundle, because the quality of the billing depends on the quality of the integration: real-time eligibility, claim scrubbing tuned to the actual chart, and denial root-cause analysis that closes the loop back to the encounter. About 98% of Glenwood clients choose the bundled path for that reason. But we are flexible. If you want to keep your current EMR, our medical billing team will work your claims in your EMR or ours. And 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. When you do choose the bundle, the switch is well-rehearsed: EHR go-live in under one week, data migration in 2 to 5 business days handled by Glenwood from your prior vendor data export, $0 implementation, and a 30-to-90-day overlap with your prior vendor that protects continuity.
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See What Glenwood Can Do for Your Practice
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