EMERGENCY MEDICINE
Run Your Emergency Department Without Charting After the Shift Ends
GlaceEMR and GlaceRCM built for the undifferentiated patient, the tracking board, and the high-acuity coding an ED panel demands, 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 ED PHYSICIANS
The Chart Was Built for the Scheduled Office Visit
Emergency medicine is a race against time and uncertainty, and most EHRs were built for a fifteen-minute office visit. Four pains come up in almost every ED discovery call, and each one quietly costs the group throughput, revenue, or compliance exposure.
Charting cannot keep up
By the time the note is finished, the next chest pain is roomed, and the level-five chart waits until after the shift. The note needs to finish with the patient, with the risk score and the disposition already in it.
The tracking board lags reality
A static list and a refresh button ten minutes behind. The charge nurse rebuilds the picture in her head every twenty minutes. The 11 PM throughput problem is a visibility problem, not a staffing one.
Professional fees get down-coded
The level-five septic arrhythmia bills as a level four because the MDM complexity never reached the structured field. Critical-care 99291 and the procedure capture leak the same way, visit after visit.
Procedures and timelines get lost
The laceration repair, the reduction, and the sedation each deserve a real note, and the serial vitals and troponins deserve a timeline. Written as narrative at 4 AM, both read poorly at a quality review six months later.
GLACEEMR FOR EMERGENCY MEDICINE
An EHR Designed Around the Undifferentiated Patient
GlaceEMR is ONC-certified, with 25+ years of company history behind it. The emergency-medicine configuration is wired in before training starts, so the chart your team opens on day one already knows the risk scores, the procedure notes, the event flowsheets, and the disposition record. Every capability below ships today, not as a roadmap promise.
Real-time tracking board with disposition flow
A live board that surfaces who is waiting for results, who is past the disposition decision, and who is ready to go. The charge nurse, the residents, and the attending see the same picture, refreshed continuously. The 11 PM throughput problem turns into a managed, visible flow.
Risk scores in line with the assessment
HEART, PERC and Wells, NIHSS, CURB-65, the Canadian CT Head and Ottawa rules, Centor, and CIWA-Ar score and document in the encounter. No separate calculator app, no retyping the result. The score becomes part of the note, the disposition rationale, and the audit defense.
Procedure notes for the work an ED does
Templated notes for laceration repair, I&D, fracture and dislocation reduction, lumbar puncture, central line, intubation, cardioversion, and procedural sedation. Each note carries its CPT suggestion, its modifier logic, and the structured fields the coder needs. The six-minute bedside procedure takes thirty seconds to document.
Time-stamped event flowsheets
Serial vitals, serial troponin, pain scores, sedation parameters, and a complete event timeline capture with time stamps as the encounter happens. When the case becomes a quality review or a deposition six months later, the timeline reads back exactly as it happened, with no after-the-fact charting to pick apart.
Included with GlaceEMR vs usually an add-on
When you price out another EMR for the ED, 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 |
|---|---|---|
| PACS and DICOM viewer for head CT and bedside ultrasound | Add-on license | Included |
| eRx with EPCS and drug-interaction checks | Add-on license | Included |
| 60+ lab interfaces for send-out work | Interface fee | Included |
| Self-check-in kiosk | Third-party vendor | 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 |
A single freestanding ED can grow to a multi-site group on the same platform, with no per-location upcharge and no re-implementation when you add a satellite next quarter. Role-based access for attendings, residents, mid-levels, RNs, registration, and billing runs throughout, with every action logged and LUKS full-disk encryption at rest in production.
FROM DOOR TO PAID
One Path, Tracked End to End
The patient checks in at the kiosk or the desk, GlaceScribe drafts the note, the level-of-service and procedure codes surface for the attending’s review at disposition, the scrubber checks every claim against payer rules, and your named billing specialist works the queue to resolution. The same chart and the same team carry the dollar from the door to the deposit, so the down-coding and the procedure leak stop happening between two other patients.
GLACERCM FOR EMERGENCY MEDICINE
A Billing Service That Knows Your ED 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 ED code mix, the self-pay reality, and the high-acuity coding work, and the numbers below reflect that focus.
95%+
First-pass claim adjudication. Most ED claims pay on the first submission, with no rework and no calendar lost to denial follow-up on a panel where the patient never comes back.
99%+
Collection rate of payer-allowed amounts*. The dollars the payer contractually owes the group actually arrive, because we work the queue to resolution instead of writing the self-pay tail off at 90 days.
$0
Implementation fee and setup charge. We get paid when the ED group gets paid, so our interests and yours line up from day one.
*Of payer-allowed amounts.
High-acuity leveling that fights down-coding
ED E/M 99281 through 99285 carry their level-of-service intensity by acuity. Our Undercoding Detector flags high-acuity encounters billed below their level for re-review before the claim drops. Critical-care 99291 and 99292 get the start-and-stop timestamps in the structured field, not lost in the body of the note.
Modifier logic the ED needs
The -25 that rides with the E/M when a procedure is done the same visit, the -59 for distinct services, the -57 when a decision for surgery is captured. Each is suggested from the documentation, validated by our coders, and applied before submission, so the procedure capture rate stops underrunning the work the department did.
Credentialing for every new attending
Locum attendings, new hires, and mid-levels need payer enrollment before their charts can bill. Credentialing and payer enrollment are part of the service, run by your account manager, so a new provider’s shifts do not sit unbilled waiting on an application.
Self-pay collection built for the ED
The ED patient walks out at 3:30 AM and never comes back. Our workflow assumes that, with multiple statement and outreach attempts and a US-based call center patients use to ask about a balance. Denials are worked to resolution, and a write-off happens only when the group signs off.
Percentage of collections, no base fees. Provider credentialing, payer enrollment, daily patient statements, and the US-based billing call center are part of the service, not separate line items. The medical director sees professional revenue by provider and by location on one report, with one denial queue and one account manager working it.
AI AND PATIENT ENGAGEMENT
The Documentation, the Coding, and the Phones
Every AI capability is a suggestion the attending reviews and selects. Notes wait for the signature and codes wait for approval before either reaches a claim, so the coding judgment and the clinical decision stay with the physician, 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 structured the way emergency medicine writes, with the HPI, the focused exam, the MDM, and the disposition. Up to four speakers for the family and EMS crew in the room. The level-five chart is finished before the next chest pain is roomed, not after the shift ends.
GlaceIQ
30+ AI features tuned to the department: level-of-service capture in line with the MDM, critical-care time prompts, procedure-code and modifier suggestions, and per-code reimbursement at charge entry. The attending reviews and selects each one.
GlacePhoneSmart
An AI phone agent answers the group’s billing line as your practice, handles balance and statement questions, runs payment reminders, and surfaces voicemail summaries. The discharged patient who calls about a bill at 11 PM reaches a helpful answer, and the front desk stops drowning in billing calls.
A self-check-in kiosk, portal, SMS, and email round out the stack. The parent of a febrile infant registers without waiting at the desk, the after-visit summary reaches the patient on the channel they actually open, and discharge instructions, balance reminders, and follow-up referral nudges go out on the cadence the disposition called for. 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 ED groups we onboard are leaving a legacy platform that never fit the acuity load. The transition is the part the medical director dreads most, and it is the part we have done many 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 an ED chart
The attending logs in to migrated encounter history, active problem lists, current meds, and recent results, with order sets, procedure notes, risk-score calculators, and the tracking board already wired in. EMR go-live happens in under one week. The first few charts run slower because the workflow is new; by the end of the first overnight, the attendings start to remember where everything lives.
DAY 30
Charting faster, claims flowing
The attendings are charting faster than on the old system because the procedure notes and risk scores match how they document, and GlaceScribe carries most HPIs. The first month of submissions is on the dashboard, the procedure capture rate is up, and the down-coding pattern on the level-five charts is corrected. The tracking board has visibly cut door-to-disposition time and the charge nurse is starting to trust it instead of rebuilding the picture by hand.
DAY 90
The switch starts paying for itself
The first quarter’s dashboard shows cleaner claims, faster posting, fewer denials parked in the 60-to-90 bucket, and recovered professional fees on the high-acuity charts. Critical-care 99291 capture is up and procedure capture is up. The conversation with the account manager turns from migration triage to using the platform harder next quarter.
Data migration covers historical encounter records, documents, images, active problem lists, current medications, allergies, and outstanding orders, 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 department keeps operating normally. Attending, resident, and mid-level training happens in pieces during real shifts with side-by-side coverage, not a multi-day block that forces the department offline, and every role gets unlimited online training during onboarding with continued access for new locum attendings and rotating residents 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 an ED with a tracking-board issue at 3 AM Pacific reaches a real 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 the group earned is the reimbursement it collects. The list below is the short version of what runs every day inside the platform for an emergency medicine group:
- 99281, 99282, 99283, 99284, 99285: ED E/M, level-of-service by acuity
- 99291, 99292: critical care, first hour and add-on time
- 12001 through 12018: simple, intermediate, and complex laceration repair
- 10060, 10061: incision and drainage
- 21800 series, 23650, 27840: fracture and dislocation reduction
- 62270, 36556, 31500, 92960: lumbar puncture, central line, intubation, cardioversion
- Modifiers -25, -59, -57: E/M with procedure, distinct services, decision for surgery
QUESTIONS WE HEAR EVERY WEEK
Emergency Medicine Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Are the ED risk scores and procedure notes built into the chart?
Yes. HEART, PERC and Wells, NIHSS, CURB-65, the Canadian CT Head and Ottawa rules, Centor, and CIWA-Ar score and document in the encounter, so there is no separate calculator app and no retyping the result. The score becomes part of the note and the disposition rationale. Templated procedure notes cover laceration repair, I&D, fracture and dislocation reduction, lumbar puncture, central line, intubation, cardioversion, and procedural sedation, and each one carries its CPT suggestion and the structured fields the coder needs, for the attending’s review before signing. Serial vitals, troponins, and sedation parameters capture on a time-stamped event flowsheet as the encounter happens.
How does GlaceRCM bill ED professional fees?
ED E/M 99281 through 99285 carry their level of service by acuity, and the Undercoding Detector flags high-acuity encounters billed below their level for re-review before the claim drops. Critical-care 99291 and 99292 get the start-and-stop time in the structured field rather than buried in the body of the note. The -25, -59, and -57 modifiers are suggested from the documentation, validated by our coders, and applied before submission, so procedure capture stops underrunning the work the department did. Self-pay follow-up assumes the patient who leaves at 3:30 AM never comes back, with multiple statement and outreach attempts and a US-based call center, and denials are worked to resolution with a write-off only when the group signs off.
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 the ED shift. Up to four simultaneous speakers are supported, and all coding and order suggestions surface for the attending’s 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 the group’s single-tenant chart database with LUKS encryption at rest, and data never trains a shared model that mixes ED patients with anybody else’s.
What does GlaceRCM pricing look like, and can we keep our EMR?
The group pays a percentage of what we collect, with no base fees, no implementation charges, and no setup fees. The exact percentage depends on the code mix, the payer panel, and the volume, and the group 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 most 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. The group will not see a surprise line item for credentialing, denial follow-up, patient statements, or the call center 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.
“Peace of mind. Comprehensive, easy to use. I would highly recommend Glenwood.”
Aura Ardon, MD
Florida
If the group carries adjacent panels, see how GlaceEMR runs urgent care, internal medicine, orthopedics, and cardiology.
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.