CHIROPRACTIC
A Chiropractic EMR That Documents PART at the Visit, Not at Audit Time
GlaceEMR and GlaceRCM built for the PART exam, the treatment plan, and the documentation a Medicare-heavy panel lives on, 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 CHIROPRACTORS
One of the Most Audited Specialties, on an EMR Built for Someone Else
Your chart works fine for a single complaint, and it buckles the moment you carry a high-frequency manipulation panel with a Medicare-heavy mix. Four pains come up in almost every discovery call, and each one quietly costs you revenue or audit exposure.
Active versus maintenance is reconstructed at audit
The AT modifier carries the answer, but the goals, duration, and re-eval cadence behind it live in free text. So the determination is reconstructed for the auditor, not documented at the visit.
Your films live in another system
In-office films sit on a standalone viewer and the imaging center’s films arrive on a disc, so the image, your read, and the visit note are never in the same place.
Workers’ comp and auto eat the front desk
Separate authorization rules, fee schedules, and lien-and-letter workflows. Visit limits change by carrier and reduction notices arrive by fax, so your team runs a parallel spreadsheet to keep dollars from disappearing.
The ABN is never where you need it
The maintenance patient signed an ABN last spring, and nobody can find it when the Medicare claim comes back. The visit was delivered, the paperwork existed, and the dollars still slip away.
GLACEEMR FOR CHIROPRACTIC
An EMR Built Around the Spinal Exam, the Plan, and the Film
GlaceEMR is ONC-certified and has run in private outpatient practices for years, with 25+ years of company history behind it. The chiropractic configuration is wired in before training starts, so the chart your team opens on day one already knows the spinal exam, the treatment plan, and the workflows your day runs on. Every capability below ships today, not as a roadmap promise.
Structured spinal exam built around PART
The spinal exam captures pain, asymmetry, range of motion, and tissue tone as discrete data by region. Subluxation and palpatory findings live in structured fields, so the PART documentation Medicare requires is the byproduct of how you exam, not a separate year-end project.
Treatment plan with active-care goals
The plan captures measurable goals, frequency, and expected duration tied to functional milestones. It carries forward, prompts for re-evaluation on the cadence you set, and makes the active-versus-maintenance call a documented decision instead of a reconstructed one.
X-ray ordering and interpretation in the chart
Order spinal and extremity X-rays from the encounter, capture your interpretation against the 72020-72120 series, and store the images alongside the report. Integrated PACS and a full DICOM viewer mean in-office films and a partner center’s films live in the same chart, each with its own interpretation note.
Cash-pay visits and the ABN on file
Cash-pay visits price at your published rate and accept payment at check-out. The ABN signs before the maintenance visit and stores on the case, so it is on file when the Medicare claim needs it instead of in a drawer.
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 its own price increase every twelve months. They ship with GlaceEMR.
| Capability | Most EMRs | GlaceEMR |
|---|---|---|
| Integrated PACS and DICOM viewer for in-office films | Add-on license | Included |
| Workers’ comp and auto case management | Manual spreadsheet | Included |
| Self-check-in kiosk with pain diagram | Third-party vendor | Included |
| GlaceOffice administration suite (HR, PTO, inventory, credentials) | Separate subscription | Included, free for clients |
| Native iOS and Android apps for providers and staff | Mobile-web only | Included |
A solo DC can grow to a multi-provider group across multiple locations on the same platform, with no per-location upcharge and no re-implementation when you add a satellite next quarter. Role-based access for chiropractic assistants, front desk, providers, billers, and managers runs throughout, with every action logged and LUKS full-disk encryption at rest in production.
FROM EXAM TO PAID
One Path From the Table to the Deposit
You document the PART exam in structured fields, you adjust and chart the visit against the treatment plan, GlaceIQ code suggestions surface at sign-off for your review, our billing team submits the claim, and your named billing specialist works any denial to resolution. The same chart and the same team carry the dollar from the treatment room to the deposit, so nothing falls through a handoff between vendors.
GLACERCM FOR CHIROPRACTIC
A Billing Service That Knows the Chiropractic Mix
GlaceRCM bills your claims in your EMR or ours, charged at a percentage of collections with no base fees. 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 chiropractic code mix and the audit-heavy Medicare panel, and the numbers below reflect that focus.
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 actually arrive, because we work the queue to resolution.
$0
Implementation fee and setup charge. We get paid when you get paid, so our interests and yours line up from day one.
*Of payer-allowed amounts.
Every claim followed to payment
Our billing team submits your CMT, extraspinal, manual therapy, modality, therapeutic exercise, X-ray, and same-day E/M claims, follows up on every one that stalls, and works the denials that come back through appeal.
Medicare scrutiny is our daily work
CMT is one of the most audited line items in outpatient Medicare. Our team works the documentation queue every day and knows what the reviewer wants: the structured PART finding, the active-care goal language, the re-eval cadence. When a CERT or TPE letter shows up, our team pulls the records from the chart and works the response with you.
Workers’ comp and auto handled in-house
Workers’ comp adjuster panels, auto liability carriers, and PIP claims are part of the same service. Authorization tracking, lien letters, IME response packets, reduction-notice rebuttals, and the medical-necessity narratives that move a denied claim are not someone else’s problem.
A named billing specialist
A dedicated account manager who knows chiropractic payer mix in your state, the codes you bill, and your top denials. Not a ticket queue, not an offshore call center. They pick up the phone when you call, and they know your practice by name within a month of go-live.
Percentage of collections, no base fees. Provider credentialing, payer enrollment, 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 assistant rooming your 9 AM patient is not on a billing call. Denials are worked to resolution through appeals, second-level reviews, and peer-to-peer, and 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 clinical judgment and the billing 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 structured the way chiropractic writes, with interval history, spinal exam, regions adjusted, modalities delivered, and the home-care plan. Up to four speakers for the case manager or parent in the room. Documentation finishes when the adjustment finishes, with no 9 PM charting.
GlaceIQ
30+ AI features tuned to your day: re-eval alerts, code suggestions at sign-off, Medicare documentation-gap detection before the claim drops, and red-flag referral prompts. You review and select each one.
GlacePhoneSmart
An AI phone agent answers as your practice, books into real scheduler slots, runs recall and reminder campaigns, fills cancellations, and surfaces voicemail summaries. Patients reach the practice at 11 PM with a flare-up and still get an appointment for tomorrow morning.
A practice-branded portal, mobile app, kiosk, SMS, and email round out the stack. The active-care patient who keeps every appointment and the maintenance patient who comes back twice a year both stay in touch, both fill out the pain diagram before they walk in, and both make their copay or visit payment without anyone at the front desk lifting a finger. Replies route back into the chart as structured tasks, so treatment-plan recalls and home-exercise check-ins get worked on the cadence the care plan calls for instead of piling up in an inbox somebody reads on Monday.
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR
Most chiropractic practices we onboard are leaving a legacy platform that never fit a high-volume manipulation schedule. 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 patient history, active treatment plans, recent visits, and X-ray images, with your spinal-exam template, modality favorites, treatment-plan formats, and home-exercise library already wired in. EMR go-live happens in under one week. The first few visits run slower because the workflow is new; 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 daily SOAPs. Your first month of submissions is on the dashboard and posting. You have walked the denial queue with your account manager, and the recall and re-eval workflows are live, filling tomorrow’s schedule from the recall list.
DAY 90
The switch starts paying for itself
Your first quarter’s dashboard shows fewer stalled CMT claims, faster posting, fewer denials parked in the 60-to-90 bucket, and workers’ comp authorizations tracked instead of guessed. The active-versus-maintenance determination is documented at the visit, not reconstructed at audit. GlacePhoneSmart has visibly cut front-desk call volume, and recall campaigns have closed treatment-plan gaps for hundreds of patients. The conversation turns from migration triage to using the platform harder next quarter.
Data migration covers historical records, exams, treatment plans, documents, X-ray images, active problems, current orders, and outstanding balances, handled by Glenwood from your prior vendor’s data export in 2 to 5 business days 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 practice keeps operating normally. Provider training is delivered in pieces around your real schedule, a 2-to-4-hour core clinical session then targeted follow-ups, with unlimited online training for every role during onboarding and continued access for new hires later. Glenwood has been independent and privately held since 1998: 25+ years in market, no outside investors, no roadmap roulette. 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. Our billing team bills them every day, follows up on the claims that stall, and appeals the denials, so the reimbursement you earned is the reimbursement you collect. The list below is the short version of the chiropractic code mix we bill:
- 98940, 98941, 98942: CMT by spinal-region count (1-2, 3-4, 5 regions)
- 98943: extraspinal CMT
- AT, GA, GZ modifiers: active treatment, ABN on file, non-covered maintenance
- 97140, 97014, 97032, 97035: manual therapy, e-stim (unattended and attended), ultrasound
- 97110, 97112: therapeutic exercise, neuromuscular re-education
- 72020 through 72120: spinal X-ray series, ordering and interpretation
- RT, LT, -25: laterality and same-day E&M with CMT
QUESTIONS WE HEAR EVERY WEEK
Chiropractic Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
How does GlaceEMR document active care versus maintenance?
The treatment plan captures measurable goals, expected duration, and re-evaluation cadence in structured fields, and the PART finding lives in discrete fields by region. That gives every visit a documented plan to point to when the active-versus-maintenance question comes up. You choose the modifiers for the visit, and our billing team bills them as you document them, follows up on the claim, and works any denial. When the patient moves to maintenance, the signed ABN is stored on the case, so it is on file when the claim needs it. The documentation an auditor wants to see is the documentation the visit produced, not a reconstruction your team has to assemble after the CERT letter arrives.
Can we order and read X-rays inside the chart?
Yes. You order spinal and extremity X-rays from the encounter, capture your interpretation against the 72020 through 72120 series, and store the images alongside the report. Integrated PACS and a full DICOM viewer mean in-office films and a partner imaging center’s films live in the same chart, each with its own interpretation note. The film, your read, and the visit note sit on one screen, so the patient who comes back in six months does not wait while someone hunts for the prior study.
Does GlaceRCM work workers’ comp and auto liability claims?
Yes, both lines are part of the standard service, not a separate engagement. Our team works workers’ comp adjuster panels and auto liability carriers as a daily part of the queue. Authorization tracking, lien letters, IME-response packets, reduction-notice rebuttals, and the medical-necessity narratives that move a denied workers’ comp claim are handled in-house. Visit-limit tracking shows the remaining authorized visits inside the chart at every encounter, so you do not deliver care your case has already exhausted authorization for. PIP and med-pay lines are part of the same workflow. If your practice carries a heavy workers’ comp or PI mix, this is one of the places switching to GlaceRCM tends to pay for itself quickly.
How do you handle cash-pay visits and the ABN?
Cash-pay visits price at your published rate and accept payment at check-out through the integrated payment processor. The ABN is signed before the maintenance visit and stored on the case, so it is on file when the Medicare claim needs it. Our billing team bills the insurance visits as you document them, and your patients call our US-based billing call center about a balance instead of your front desk.
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, 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.
“Revenue impact has been great.”
Larry Flowers, MD
Texas
If you carry adjacent panels, see how GlaceEMR runs pain medicine, orthopedics, PT/OT therapy, and podiatry.
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.