OB-GYN
Two Specialties, One Chart, From the First Prenatal to the Postpartum Follow-Up
The antepartum flow sheet, the 6-week postpartum, the well-woman annual, the colposcopy, and the ultrasound all live in one chart, and your billing team handles global maternity the way OB-GYN actually bills, on GlaceEMR and GlaceRCM, 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 OB-GYNS
Two Practices Sharing One Wall
OB-GYN is the longitudinal world of prenatal care and the procedure-rich world of gynecology, sharing a wall. Most horizontal EHRs give you a generic problem list and expect your team to invent the flow sheets, the dating, and the global-maternity splits. Four pains come up in the first thirty minutes of almost every discovery call.
Antepartum data scatters
A 40-week pregnancy is a dozen visits, several ultrasounds, and three rounds of labs. The horizontal chart cannot show the trend at a glance, so the sheet gets rebuilt every encounter and your MA prints the last visit onto a clipboard.
Postpartum slips through
When the 6-week visit is not scheduled at delivery, the booking falls to whoever remembers at week three. The EPDS that should have caught depression at six weeks goes uncaptured, and the gap is eighteen months old by the next pregnancy.
Global maternity bleeds revenue
Antepartum visits over the package count, the NSTs, and the ultrasounds outside the routine schedule all need to be split out. Most platforms bundle everything inside and lose the revenue, or double-bill and trigger denials.
LARC J-codes drop on the floor
IUD and implant device J-codes, lot numbers, consents, and the insertion procedure have to ride out together on a clean claim. When the chart does not enforce the bundle, the device cost lands as a write-off against the practice.
GLACEEMR FOR OB-GYN
An EHR Designed Around Both Halves of OB-GYN
GlaceEMR is ONC-certified and has run in private OB-GYN practices for years, with 30+ years of company history behind it. The women’s-health configuration is wired in before training starts, so the chart your team opens on day one already holds the prenatal flow sheet, the procedure templates, and the codes your practice bills. Every capability below ships today, not as a roadmap promise.
Longitudinal prenatal flow sheet
One sheet carries gestational age, weight, blood pressure, fundal height, fetal heart tones, presentation, urine dip, and lab milestones across every prenatal encounter, in one view. The pregnancy is one continuous record, not a stack of disconnected notes.
EDD and gestational-age dating
EDD by LMP, ultrasound, or ART transfer date, with gestational age computed at every visit. NIPT, the anatomy survey, GTT, GBS, Rh prophylaxis, and Tdap surface at the right week. Trimester order sets fire on schedule instead of waiting for someone to remember.
Fetal growth with biometry
Ultrasound biometry pulls in as discrete fields (BPD, HC, AC, FL, EFW) with percentile trends and a visible marker when growth drops off the curve. The IUGR work-up or the MFM consult does not get missed, because the trend line is the first thing you see.
Integrated PACS for ultrasound
Order imaging from the encounter and view the actual ultrasound in the chart alongside the structured biometry and the report. First trimester, anatomy survey, growth, BPP, NST, and transvaginal studies read inside the record. No separate viewer, no add-on license at renewal.
Contraception and LARC workflows
IUD and Nexplanon insertion and removal notes, counseling templates, J-code and NDC capture for the device, and removal reminders at the end of the LARC interval all live in the chart. Pregnancy-safety flags surface at the point of prescribing for the patient who might be early-undisclosed.
Procedure notes and cervical surveillance
Colposcopy, LEEP, endometrial biopsy, and hysteroscopy notes ship with the right elements for the claim. Pap and HPV results track against guideline intervals, abnormal cytology routes into a tracked follow-up queue, and the colposcopy gets scheduled before the patient leaves.
Included with GlaceEMR vs usually an add-on
When you price out another EMR for an OB-GYN 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 price increase. They ship with GlaceEMR, with no tier games and no surprise line items.
| Capability | Most EMRs | GlaceEMR |
|---|---|---|
| PACS and DICOM viewer for ultrasound | Add-on license | Included |
| Hospital ADT, delivery and discharge records | Interface fee | Included (15+ hospitals) |
| CCM, RPM, and BHI for postpartum collaborative care | Separate product | Included |
| Self-check-in kiosk, English and Spanish | Third-party vendor | Included |
| GlaceOffice administration suite (HR, PTO, IUD stock) | 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 15-provider group across locations on the same platform, with no per-location upcharge and no contract to renegotiate when you add a satellite or a second sonographer.
GLOBAL MATERNITY, RECONCILED
One Pregnancy, Tracked End to End
The chart tracks the global package across the pregnancy. Antepartum, delivery, and postpartum components reconcile, the ultrasounds and NSTs outside the package split out, and the unrelated office visits bill as separate E&M. The same chart and the same team carry the dollar from the first prenatal to the deposit, so nothing falls out of the package or gets double-counted between four different vendors.
GLACERCM FOR OB-GYN
A Billing Service That Knows Global Maternity and the Gyn Suite
GlaceRCM bills your claims in your EMR or ours, 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 team works your claims there. The service is built for the dual economy of global obstetric packages plus fee-for-service gynecology.
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 global package or the LARC J-code.
99%+
Collection rate of payer-allowed amounts*. The dollars the payer contractually owes you actually arrive, because we work the queue to resolution instead of writing the overlap denial 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 day one.
*Of payer-allowed amounts.
Global maternity reconciliation
The team applies 59400, 59510, 59610, and 59618 correctly, captures antepartum-only when a patient transfers in mid-pregnancy, and splits out the ultrasounds and NSTs that ride outside the package. The -25 modifier fires when a procedure rides alongside an E&M, so the well-woman with a same-day colposcopy goes out clean.
Contraception device capture
J7297, J7298, J7300, J7301, and J7307 are captured at the encounter and submitted with the device lot, the consent, and the insertion code on a clean claim. The device cost stops landing as a write-off, and the biller works the queue when a payer pushes back so the dollars actually arrive.
Denials worked to resolution
Global-package overlap, contraception-coverage, modifier, and antepartum-only transfer denials are worked to resolution with appeals authored against the documentation. Second-level reviews and peer-to-peer happen on schedule. The write-off only happens when you sign off.
A named billing specialist
A dedicated account manager who knows your state’s OB-GYN payer mix, your delivery-hospital arrangement, the Medicaid maternity nuances, 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, 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 or a global-package estimate, not your front desk, and soft collections are handled in-house so the receptionist checking in your 9 AM prenatal is not stuck on a billing call. New associates can bill on day one instead of waiting six months for an enrollment letter.
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 notes that recognize a return-prenatal, a well-woman annual, or an in-office procedure and structure the note for the visit type, including a clean colposcopy or IUD-placement note. 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 the prenatal flow sheet, gestational milestone flags, trimester-specific O-code suggestions at signing, denial prediction on the global package and LARC J-codes, 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, books prenatal visits into real scheduler slots, runs annual and postpartum recall campaigns, fills cancellations, and surfaces voicemail summaries so the front desk stops drowning during recall season.
A practice-branded portal, mobile app, kiosk, SMS, and email round out the stack, with English and Spanish on every patient-facing surface. The 30-year-old new OB patient on her phone and the 65-year-old menopause patient who only opens email both end up on the schedule, both finish intake before they walk in, and both pay their balance without anyone at the front desk lifting a finger. Replies route back into the chart as structured tasks, so the postpartum 6-week reminder, the abnormal-Pap follow-up, and the LARC removal reminder get worked on the cadence the care plan calls for.
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR
Most OB-GYN practices we onboard are leaving a horizontal platform that never fit the women’s-health 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, active problem lists, current meds, Pap and HPV history, and the prenatal flow sheets for patients still pregnant, with your templates, procedure libraries, and contraception workflows 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 prenatal returns. Your first month of submissions is on the dashboard, the first global-package reconciliations are clean, and you have walked the denial queue with your account manager. Recall workflows are live, filling tomorrow from the recall list.
DAY 90
The switch starts paying for itself
Your first quarter’s dashboard shows cleaner global-package claims, faster posting, and the LARC J-codes landing every time. The 6-week postpartum no-show rate is down because the visit is scheduled at delivery, GlacePhoneSmart has cut front-desk call volume, and recall has closed care gaps for hundreds of patients. The conversation turns from migration triage to using the platform harder next quarter.
Data migration covers historical records, documents, ultrasound images, problem lists, medications, allergies, Pap and HPV history, active prenatal flow sheets, and outstanding orders, handled by Glenwood from your prior vendor’s data export so your staff does not have to clean charts. 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 OB pipeline keeps operating normally. Provider training is delivered in pieces around your real schedule, and every role gets unlimited online training during onboarding with continued access for new hires. 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 OB-GYN practice:
- 59400 / 59510 / 59610 / 59618: global obstetric packages (vaginal, C-section, VBAC, attempted VBAC)
- 59425 / 59426: antepartum-only care (4-6 visits, 7+ visits)
- 76801-76817: OB ultrasound family (first trimester, anatomy, growth, BPP, NST)
- 76830 / 76856 / 76857: transvaginal and pelvic ultrasound
- 57454 / 58100 / 58558: colposcopy with biopsy, endometrial biopsy, hysteroscopy with biopsy
- 11981 / 11983 / 58300 / 58301: Nexplanon insertion and removal, IUD insertion and removal
- J7297 / J7298 / J7300 / J7301 / J7307: contraception device J-codes
- 99214 / 99395 / 99396 / G0101 / Q0091: E&M, preventive medicine, screening pelvic and Pap collection
QUESTIONS WE HEAR EVERY WEEK
OB-GYN Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Does GlaceEMR handle global maternity billing correctly?
Yes. Global OB billing is tracked across the pregnancy with the antepartum, delivery, and postpartum components reconciled inside the chart. The team applies 59400, 59510, 59610, and 59618 correctly, captures 59425 and 59426 when a patient transfers mid-pregnancy, and separates the ultrasounds, NSTs, BPPs, and unrelated office visits that ride outside the package. Payer-specific edits run at the scrubber, so a Medicaid maternity claim and a commercial-payer claim get checked against the rules each one actually uses. Nothing falls out of the package or gets double-counted, and the dollars that should be billable separately come through as separate revenue instead of being lost inside the global.
How does GlaceEMR handle the prenatal flow sheet and gestational dating?
The pregnancy is documented as one continuous record. A single longitudinal flow sheet carries gestational age, weight, blood pressure, fundal height, fetal heart tones, presentation, urine dip, and lab milestones across every prenatal encounter, in one view. EDD is calculated by LMP, by ultrasound, or by ART transfer date, with gestational age computed at every visit. The routine screening windows for NIPT, the anatomy survey, GTT, GBS, Rh prophylaxis, and Tdap fire at the right week. Ultrasound biometry pulls in as discrete fields with percentile trending across visits, so an IUGR work-up or an MFM referral lands on schedule rather than after the growth curve drops off and somebody catches it in retrospective review.
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, 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 full-disk encryption at rest, and the data never trains a shared model that mixes your patients with anybody else’s.
What does GlaceRCM pricing 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, and delivery 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 long is implementation, and what does training look like?
You go live on the EMR in under a week. Your RCM transition runs 4 to 8 weeks alongside payer enrollment. We handle your data migration in 2 to 5 business days, including the active prenatal flow sheets for patients still pregnant, so your staff does not have to clean charts. Providers train in pieces around real clinic, not in a multi-day block that forces you to cancel patients: a 2-to-4-hour core clinical session, then targeted follow-ups for women’s-health templates, ultrasound integration, telehealth, and the AI tools. Every role gets unlimited online training during onboarding, and it stays available for new hires later. We recommend keeping your previous vendor running alongside us for 30 to 90 days, and the account manager who runs your migration is the same one who picks up the phone in month six.
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If you carry adjacent panels, see how GlaceEMR runs family medicine, internal medicine, pediatrics, and endocrinology.
See What Glenwood Can Do for Your Practice
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