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 the first thirty minutes of almost every ED discovery call, and each one quietly costs the group throughput, revenue, or compliance exposure.
Charting cannot keep up
A horizontal EHR asks for five screens before the chief complaint. By the time the note is finished, the next chest pain is roomed. The chart needs to open, score the risk, and capture disposition in under ninety seconds.
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.
EMTALA, sepsis, and stroke are three workflows
Screen-and-stabilize, the one-hour lactate, and the door-to-CT clock each live in a different screen. The medical director runs monthly audits to catch the gaps that should never have been gaps.
GLACEEMR FOR EMERGENCY MEDICINE
An EHR Designed Around the Undifferentiated Patient
GlaceEMR is ONC-certified and has run in acute-care settings alongside the broader Glenwood install base for years, with 30+ 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 chief complaints, the risk scores, the procedure notes, and the disposition record. Every capability below ships today, not as a roadmap promise.
Chief-complaint templates that open at the door
The triage complaint drives the chart. Chest pain opens the ACS rule-out with HEART, EKG read, and serial troponin scaffolded. Abdominal pain opens the appendicitis and cholecystitis workup. Stroke opens NIHSS and the CT clock. Your hands are typing inside ninety seconds, not navigating menus.
Real-time tracking board with disposition flow
A live board that surfaces who is waiting for results, who is past the disposition decision, who is on a sepsis-bundle clock, and who is in observation. 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.
Sepsis, stroke, and EMTALA built in
The sepsis-bundle clock starts when the chief complaint hits, with the lactate, blood-culture, and antibiotic windows tracked against it. Stroke-code charting carries the CT clock and the NIHSS. EMTALA screening, stabilization, and transfer runs as one workflow with the disposition record, so compliance evidence accrues as a byproduct of the encounter.
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 |
| Hospital ADT, transfer, and admission interfaces | Interface fee | Included (15+ hospitals) |
| Observation status charting and billing | Often unsupported | First-class encounter type |
| Self-check-in kiosk and digital triage, English and Spanish | 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 contract to renegotiate 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
Triage drives the chart, 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 the facility-and-professional pairing, 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 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 ED code mix, the facility-and-professional split, 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, setup charge, and monthly minimum. 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.
Facility and professional, billed cleanly
Whether the group bills professional services as an independent contractor or is facility-employed under a different arrangement, the platform handles both sides on one chart. The professional charge and the facility code drop together with the modifiers the payer needs, so the dollars that fell through a bolt-on integration stop falling through.
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 both the facility and professional sides on one revenue report, reconciled to the same encounter, with the same denial queue and the same account manager working both, so nothing falls through a handoff between two billing systems.
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, English and Spanish patient-facing. 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, sepsis and stroke alerts, 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 in English or Spanish, 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, with English and Spanish on every patient-facing surface. The Spanish-speaking parent of a febrile infant registers without waiting for an interpreter, the after-visit summary reaches the patient in the language they read, 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 chief-complaint templates, 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 templates 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, procedure capture is up, observation bills at the appropriate level, and the facility-and-professional split is reconciled the way the payer expects. 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 1994, when our founder helped his physician wife acquire a private practice in Connecticut: 30+ 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
- 99217 through 99220: observation services
- 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.
How fast does the chart actually open on a new chief complaint?
Under ninety seconds from chief complaint to a chart populated with the right workup template, risk-score scaffolding, order set, and procedure documentation. Chest pain opens with ACS rule-out, HEART score, and serial troponin scaffolded. Abdominal pain opens with the appendicitis, cholecystitis, and diverticulitis workup. Stroke opens with NIHSS, the CT clock, and the disposition record. The triage complaint drives the chart, the structured fields populate from registration, and the attending’s hands are typing inside ninety seconds of opening the encounter. We benchmark this against the old system during the discovery call. The win is not the ninety seconds; it is the cognitive load the attending stops carrying because the chart already knows what it is supposed to ask next.
How does the platform handle the facility-and-professional billing split?
Both sides of the ED billing reality run on one chart. Whether the group is an independent-contractor entity billing professional services or facility-employed under a different arrangement, the platform handles the professional charge captured in the encounter and the facility code drop together, with the modifiers the payer needs to recognize them as a paired ED visit. The dollars that used to fall through a bolt-on integration between the EHR and the facility billing system stop falling through. The professional fee carries the level-of-service intensity and the procedure modifiers; the facility side captures its bundled and unbundled components correctly. The medical director sees both sides on one revenue report, reconciled to the same encounter, with the same denial queue and the same account manager working both.
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, English and Spanish patient-facing, 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.
How does the platform handle EMTALA, sepsis bundle, and stroke compliance?
As one workflow, not three. EMTALA screening, stabilization, and transfer documentation runs as part of the disposition record, with the structured fields the federal regulation requires. Sepsis bundle compliance is tracked from the moment the chief complaint hits, with the lactate window, blood-culture timing, and broad-spectrum antibiotic clock all visible on the tracking board and surfaced as alerts when a step is open against the clock. Stroke-code charting carries the door-to-CT clock, the NIHSS score, and the disposition rationale, with the documentation captured in the structured fields the stroke center accreditation review will look for. The medical director runs a single monthly compliance report instead of three separate audits, and the documentation gaps that used to cost the department reaccreditation points get caught at the encounter, not at year end.
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, no setup fees, and no monthly minimums. The exact percentage depends on the code mix, the payer panel, the volume, and the facility-versus-professional split, 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 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. 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.
“[Specialty-specific testimonial quote, replace with verified Emergency Medicine physician quote or remove this card.]”
[Physician Name, MD]
[State]
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
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