CARDIOLOGY
Run Your Cardiology Practice Without the Saturday Catch-Up
GlaceEMR and GlaceRCM built for imaging, devices, and titration: the echo reads inside the chart, the four-pillar GDMT regimen is dose-tracked, the device interrogation lands as structured data, and the 93306 and 99214 with the -25 are coded at the visit. 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 CARDIOLOGISTS
The Chart Buckles Under an Imaging-and-Device Panel
Cardiology generates more structured data per patient than almost any outpatient specialty: echos, stress tests, Holters, device interrogations, and the relentless titration of guideline-directed medical therapy. Most EHRs were built for a primary-care complaint visit. Four pains come up in the first thirty minutes of almost every discovery call.
Device data in four portals
Pacemaker, ICD, CRT, and loop recorder downloads sit in four vendor portals. Staff prints PDFs and re-keys results, the 93294 and 93296 claim drops late, and the next interrogation date depends on a spreadsheet.
Interpretation revenue leaks
Echo, stress, nuclear, and cardiac CT each carry a technical and professional component, and the -26, -TC, and -59 rules shift by site and payer. When the note does not match the claim, the interpretation revenue gets written off.
GDMT titration in your head
The four-pillar HFrEF regimen needs dose history, target dose, renal constraint, and the potassium floor on one screen. Scattered across the med list and two flowsheets, the patient sits at a starter dose for eighteen months.
Payers fight harder
Multi-procedure reductions, modifier rules, and prior-auth pressure on stress imaging, cardiac CT, and CIED implants drive denial rates other specialties never see. A general billing team gives up at ninety days.
GLACEEMR FOR CARDIOLOGY
A Chart Built for Imaging, Devices, and Titration
GlaceEMR is ONC-certified and has carried private cardiology practices for years, with 30+ years of company history behind it. The cardiology configuration is wired in before training starts, so the chart your team opens on day one already knows the conditions, the codes, and the device-and-imaging workflows your day runs on. Everything below ships in the platform today.
Structured echo and stress interpretation
Echo and stress templates capture EF, chamber sizes, valve gradients, and wall-motion scores as discrete data, not free text lost in a scanned PDF. The 93306, 93350, and 93351 line generates from the record you sign, the EF drops onto the trend chart, and the prior study is one click away.
Device follow-up engine for CIED
Pacemaker, ICD, and CRT schedules run as a managed program. Remote interrogations from the four major CIED vendor platforms land as structured fields, the 93294 and 93296 line generates on time, and the patient overdue for a check surfaces on the device-clinic recall list instead of slipping past for another quarter.
GDMT order sets and dose tracking
The four-pillar HFrEF regimen and post-ACS prevention ship as order sets with dose history, target dose, last titration date, renal constraint, and the BP and potassium floor visible per medication. The gap between current dose and target surfaces on the encounter screen.
Integrated PACS and DICOM viewer
PACS and a DICOM viewer are built into the chart at no additional cost. Echo loops, cath cine, nuclear MPI, cardiac CT, and cardiac MRI read inside the same record, on the same screen, without a separate workstation login. Side-by-side comparison with the prior study is one click.
Anticoagulation and trend charts
Warfarin patients run on a structured INR log with target range and time-in-therapeutic-range; DOAC patients carry renal-dose flags before refills. CHA2DS2-VASc and HAS-BLED calculate from the chart, and EF, BNP, LDL, and weight plot on longitudinal trend charts the visit reads at a glance.
Cath, EP, and procedure templates
Structured templates for diagnostic cath, PCI, EP study, ablation, cardioversion, and TEE drive the documentation downstream coding needs: access site, vessels treated, contrast volume, fluoroscopy time, and complications. The procedure note finishes when the case finishes and drops a clean charge.
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, separate vendors, or consulting fees almost everywhere else, each with its own renewal date. They ship with GlaceEMR, with no tier games and no surprise line items at renewal.
| Capability | Most EMRs | GlaceEMR |
|---|---|---|
| PACS and DICOM viewer in the chart | Add-on license | Included |
| CCM, RPM, PCM, BHI, TCM for the cardiac panel | Care-management vendor | Included |
| Hospital ADT, discharge summaries, cath reports | Interface fee | Included (15+ hospitals) |
| 200+ reports plus a self-serve report builder | 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 telehealth runs the titration follow-up and device-review check-in in the same chart, eRx carries EPCS and QT-prolongation alerts tuned to antiarrhythmics, and 60+ two-way lab interfaces feed BNP and troponin trends in. A solo practice can grow to 20+ providers across offices, satellites, and an embedded device clinic on one platform, with no per-location upcharge.
FROM READ TO PAID
One Path, Modifiers Sequenced End to End
GlaceScribe drafts the note, GlaceIQ surfaces ICD-10 and HCC suggestions for your review, the scrubber applies the -26 and -TC split and the MPPR sequence against payer rules before the claim goes out, and your named billing specialist works the queue to resolution. The same chart and the same team carry the dollar from the reading room to the deposit, so nothing falls through a handoff between four different vendors.
GLACERCM FOR CARDIOLOGY
A Billing Team That Lives in -26, -TC, and MPPR
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 cardiology code mix and the high-acuity Medicare-and-MA 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.
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 ninety 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.
Professional and technical component logic
The scrubber knows when -26 and -TC belong on a line and when global billing is correct, based on site of service, equipment ownership, and the payer contract. Echo, stress echo, Holter, ECG, nuclear MPI, cardiac CT, and cardiac MRI all sequence correctly the first time, so interpretation revenue stops leaking out.
Multi-procedure and bundling discipline
Cardiology day-of-service combinations carry NCCI edits, MPPR reductions, and add-on rules that trip generic scrubbers. Stress with imaging, cath with intervention, ablation with mapping, and the E/M with the -25 alongside a procedure all run through cardiology-specific bundling logic, so claims go out clean the first time.
Prior auth and denials worked to resolution
Stress imaging, cardiac CT, cardiac MRI, and CIED implants need prior auth, and the team assembles the documentation packet from the chart and follows it to decision. We do not drop a cardiology denial at ninety days; appeals, second-level reviews, and peer-to-peer follow when medical necessity is in dispute.
A named billing specialist
A dedicated account manager who knows the cardiology payer mix in your state, the codes you bill, and the modifiers your reads carry. Not a ticket queue, not an offshore call center. They know your practice and your imaging mix by name within a month of go-live.
Percentage of collections, no base fees. Provider credentialing, group NPI-2 enrollment, payer 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, and soft collections are handled in-house with escalation only on your sign-off, so the receptionist checking in your 9 AM device patient 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, 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 SOAP notes tuned to cardiology vocabulary: ejection fraction, NYHA class, CHA2DS2-VASc, antiarrhythmic regimens, and the four-pillar regimen. Imaging review folds into the assessment, and ICD-10 and CPT suggestions surface for your review. 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 imaging and labs, HCC and ICD-10 capture at signing with cardiac specificity, care-gap prompts for statin, anticoagulation, and ICD candidacy in EF below 35%, 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 into real scheduler slots, runs device-recall and post-procedure campaigns, fills cancellations, and surfaces voicemail summaries so the front desk stops drowning during device-clinic season. Patients reach the practice at 11 PM and still get next Tuesday’s CIED check.
A practice-branded portal, mobile app, kiosk, SMS, and email round out the stack, with English and Spanish on every patient-facing surface. Cardiology populations skew older and often Spanish-speaking, so the seventy-eight-year-old AFib patient who only opens voicemail and the fifty-year-old post-PCI patient who only opens text both end up on the schedule. Heart-failure self-monitoring data flows back to the chart for the RPM review, and recall replies route back as structured tasks so CIED interrogations, post-PCI follow-ups, and anticoagulation reviews get worked on the cadence the care plan calls for.
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR
Most cardiology practices we onboard are leaving a legacy platform, a billing-first product, a niche cardiology-only system, or a hospital-tied enterprise EHR. We have migrated all of them. 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 patient history, active cardiac problem lists, current meds, and the recent ECG, echo, and device-interrogation history, with your echo and procedure templates, GDMT order sets, CHA2DS2-VASc and ASCVD calculators, 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
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. Echo and stress reads drop clean charges with the right -26 the first time, the CIED remotes from the four vendor portals are landing on schedule, and you have walked the denial queue with your account manager. Device-clinic recall is filling tomorrow’s schedule.
DAY 90
The switch starts paying for itself
Your first quarter’s dashboard shows cleaner claims, faster posting, fewer denials in the 60-to-90 bucket, and modifier sequencing handled on every echo and stress line. CCM, RPM, and device-monitoring revenue are real lines that did not exist before, HCC capture on your Medicare Advantage panel is climbing, and GlacePhoneSmart has visibly cut front-desk call volume.
Data migration covers historical records, problem lists, current medications, prior imaging, device-interrogation history, and the ECG and Holter archive, handled by Glenwood from your prior vendor’s export in 2 to 5 business days so device follow-ups never get interrupted. 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. Provider training is delivered in pieces around your real schedule, with unlimited online training during onboarding for every role and continued access for new sonographers and device-clinic staff 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.
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, the modifier sequences, and the denial templates around them. The short version of what runs every day inside the platform for a cardiology practice:
- 93000, 93010: ECG, global and interpretation, component splits per payer contract
- 93306, 93350, 93351: complete TTE with Doppler, stress echo with and without supervision
- 93294, 93296: pacemaker and ICD remote monitoring, data flowing from the CIED portals
- 93458, 93653, 93654: left heart cath, EP study with ablation, add-on and modifier sequence handled
- 93880, 93882: carotid duplex, bilateral and unilateral
- 99453, 99454, 99457, 99458: RPM setup and monitoring for the heart-failure and post-MI panels
- 99490, 99439, 99491: Chronic Care Management for the high-acuity cardiac panel
- 99213, 99214, 99215: office E/M with the -25 alongside an interpretation or procedure
QUESTIONS WE HEAR EVERY WEEK
Cardiology Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Does GlaceEMR handle CIED remote monitoring and device follow-up natively?
Yes. Pacemaker, ICD, and CRT interrogations from the four major CIED vendor platforms land in the chart as structured fields, not as PDFs your staff prints and re-keys. The device follow-up engine tracks the interrogation schedule per patient, surfaces the patient overdue for a remote or an in-office check on a managed worklist, and generates the 93294 and 93296 claim line from the same record you sign. The structured findings (lead impedances, battery life, arrhythmia counts, therapy delivered) live as discrete data, so the device-clinic report your office manager pulls every Monday is generated from the chart rather than from a separate spreadsheet. Most practices that switch see their device-billing accuracy climb inside the first sixty days, because the interrogations were always being read; they just had nowhere to land as structured data the biller could see.
How does GlaceRCM handle the -26 and -TC professional and technical component splits?
The scrubber knows when -26 and -TC belong on an interpretation line and when global billing is correct, based on site of service, equipment ownership, and the payer contract. Echo, stress echo, Holter, event monitor, ECG, nuclear MPI, cardiac CT, and cardiac MRI all sequence correctly the first time. The MPPR reductions on cardiology day-of-service combinations (stress with imaging, cath with intervention, ablation with mapping) carry the right add-on and modifier sequence, and the E/M with the -25 alongside a procedure on the same day is added when the documentation supports it. Your dedicated account manager knows your top payers and what each one needs to accept the modifier sequence. The interpretation revenue stops leaking out through technical-component claims you should have billed, and the denials that come back get appealed with the chart documentation rather than written off at ninety days.
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, and nothing carries your signature until you sign 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 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 volume, and you will have it after a 20-minute discovery call. You will not see surprise line items for credentialing, denial follow-up, prior auth on stress imaging and CIED implants, patient statements, or the call center your patients use, 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. We would rather run the full bundle, where 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 works your claims in your EMR or ours.
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, so your staff does not have to clean charts or rebuild device-interrogation history. Providers train in pieces around real clinic, not in a multi-day block that forces you to cancel patients or postpone the procedure board: a 2-to-4-hour core clinical session, then targeted follow-ups for advanced modules. 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. Support runs 7:00 AM to 8:00 PM Eastern on weekdays, with 24×7 on-call coverage for urgent issues.
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See What Glenwood Can Do for Your Practice
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