ENDOCRINOLOGY
An EHR Built for Titration, Trends, and the Device Data Diabetes Runs On
Your hypertensive type-2 diabetic with twelve meds, a Dexcom upload from last night, a GLP-1 stuck in prior auth, and a DEXA score that just slipped into osteoporosis range walks in at 10:15. Twenty minutes later your note is signed, the time-in-range discussion is in the chart as structured data, the CCM minutes are logged, the GLP-1 packet is on the billing team’s desk, and the next visit is on the calendar. That is what your day looks like on GlaceEMR and GlaceRCM, billed at a percentage of collections with no base fees, backed by a billing team that hits 95%+ first-pass claim adjudication and 99%+ collection rate of payer-allowed amounts*.
*Of payer-allowed amounts.
WHAT WE HEAR FROM ENDOCRINOLOGISTS
The Problems Endocrinology Practices Tell Us About
Endocrinology is a specialty of moving numbers. Glucose, A1c, TSH, calcium, weight, and the long arc of bone density do not tell their story in a single visit. They tell it across months, in trends, and increasingly in continuous device streams that an EHR built for a single acute complaint cannot hold. The list below is what we hear in the first thirty minutes of every discovery call with an endocrinology practice.
CGM and pump data lives in vendor silos. Your patient shows up with three apps, three logins, and a stack of PDFs printed from three different vendor portals. None of it is in the chart, none of it is structured, none of it can be coded from, and your fellow spent the first ten minutes of the visit clicking between browser tabs to assemble the picture you should have been looking at when you walked into the room. The same patient is back in eight weeks, and you do it again. Multiply that by a panel of insulin-pump patients and the cost of the workflow becomes visible in your day, not on a line item.
The EHR does not think in trends. Most platforms show you the last value in a results table that scrolls. You want two years of A1c plotted against the patient-specific target zone, with insulin and GLP-1 changes annotated on the curve. You want TSH and free T4 layered with levothyroxine dose changes, calcium tracked against PTH after a parathyroidectomy, lipids cut against the date you started the statin, and DEXA T-scores stretched across the bisphosphonate course. Few horizontal EMRs do any of that without an export to Excel and a clinician with twenty extra minutes per chart, so the question driving every endocrine visit, which way is this moving, gets reconstructed from memory at the end of the day.
Diabetes CCM and RPM sit on the table. Chronic Care Management, Remote Patient Monitoring suited to CGM and connected glucose, and Principal Care Management pay reliably when the time is captured against a real care plan. Most platforms make your staff fight to log a minute, so the dollars never make it onto a claim and the panel never gets the structured between-visit care those programs were designed to fund. An endocrinology group running diabetes CCM and RPM properly produces six figures of annual revenue. Without the workflow built in, that revenue is invisible, and the patient calls and pump-download reviews you are already doing get billed at zero.
Prior auth eats your team alive. GLP-1s, PCSK9s, insulin pumps, continuous glucose monitors, growth hormone, testosterone, bone-active agents like denosumab and anabolic therapies, every one of them carries an auth and an appeal cycle. Your medical assistant spends most of Thursday on hold with a benefits line. The patient calls back wanting to know if their semaglutide is approved yet. The fellow rewrites the medical-necessity letter for the fourth time because the payer asked for a different attachment. The therapy that actually changes outcomes gets delayed by four to six weeks while your staff burns hours that should belong to clinical work.
Endocrine visits are cognitively dense and chronically under-coded. Your titration discussion with a brittle diabetic, the multi-axis assessment on a Cushing workup, the medication-reconciliation pass on a patient with twelve actives and four allergies, all of it is 99214 work at minimum and frequently 99215. It bills as a 99213 because the documentation did not surface the MDM the visit actually carried. Across a typical endocrine panel five to eight percent of revenue disappears this way, almost all of it recoverable if the documentation prompts and the scrubber know what an endocrine visit looks like, and if the biller works the queue to resolution instead of writing off at ninety days.
Thyroid panels get scattered across visits. TSH, free T4, free T3, reverse T3, TPO and thyroglobulin antibodies, ultrasound results, FNA cytology, Bethesda category, surgical pathology, and the levothyroxine dose history should sit on one screen for a Hashimoto patient, a Graves’ patient on methimazole, a thyroid-cancer survivor on surveillance, or a nodule patient between ultrasounds. They usually do not. Each value lives in its own row of the lab table, each imaging study sits in a different document folder, and the clinician carries the gestalt of where the patient is in their head, which is fine until the patient sees your associate covering on a Wednesday.
The phones never stop. Refill requests on insulin and GLP-1, CGM and pump questions, lab callbacks, prior-auth status, GLP-1 supply shortages, side-effect calls, DSMT scheduling, the patient who got told their A1c is high and needs to talk to somebody now. Voicemails pile up, callbacks slip into the next day, and the recall list for the diabetics overdue for an A1c or a retinal exam quietly stops being worked. Your panel thins, not because patients are unhappy, but because the practice cannot reach them at the moment they were ready to schedule.
Your software bill keeps growing for things that should be one product. Separate vendor for the pump-download viewer, separate vendor for telehealth, separate vendor for the patient portal, separate vendor for care-management time tracking, separate vendor for remote monitoring, separate vendor for the kiosk, separate vendor for the practice marketing site, separate vendor for HR and PTO. Each renews on its own schedule, each lifts its price every twelve months, and the integrations leak. The total spend stays invisible until the office manager prints out the SaaS list and the number is bigger than payroll for two FTEs.
GLACEEMR FOR ENDOCRINOLOGY
An EHR Built Gland by Gland, and Tuned to Devices
GlaceEMR is ONC-certified and has been deployed in private endocrinology and adult internal medicine practices since 1999, with 30+ years of company history behind it. Every feature below is in the platform today, not a roadmap promise. The endocrinology configuration is wired in before training starts, so the chart your team opens on day one already holds the trend charts, the device feeds, the titration order sets, and the gland-by-gland content your day actually runs on.
CGM ingestion as structured data
CGM uploads from major sensor families land in the chart as discrete fields, not PDFs. Time-in-range, average glucose, GMI, coefficient of variation, standard deviation, and low and high event counts appear in the encounter without your staff downloading PDFs from three different vendor sites and pasting summaries into a free-text note that nobody can trend against next quarter.
Insulin-pump downloads, no extra logins
Pump downloads land in the chart as structured data: basal rates, bolus history, insulin-on-board, cartridge and site change events, suspend and resume timestamps. You stop flipping between vendor cloud portals and your EHR. Your fellow stops being a copy-paste pipeline. The pump and CGM view share the same time axis on the screen, so the question you actually came to answer is in front of you, not in three browser tabs.
Longitudinal trend charts
A1c, glucose, TSH and free T4, calcium and PTH, weight, lipids, and DEXA T-score plot longitudinally with patient-specific target zones shaded and medication changes annotated on the curve. Pediatric, pregnant, and elderly diabetes targets are configurable per patient. The results table becomes a clinical story you can read in one glance instead of a stack of values you have to reconstruct from memory.
Thyroid management on one screen
TSH, free T4 and free T3, reverse T3, TPO and thyroglobulin antibodies, ultrasound results, FNA cytology, Bethesda category, surgical pathology, and dose history sit on a single thyroid dashboard. Hashimoto, Graves’, post-thyroidectomy surveillance, and nodule monitoring patients each get their own trend layout, with thyroid-cancer surveillance carrying Tg and TgAb plotted against the post-RAI timeline that matters for that patient.
Native CCM, RPM, PCM, and BHI
Chronic Care Management, Remote Patient Monitoring suited to CGM and connected glucose, Principal Care Management, and Behavioral Health Integration for diabetes distress are built into the chart, not a separate care-management vendor. Time is captured against the care plan as your staff documents in the patient. Device readings flow in and trip threshold reviews. Eligible time rolls up monthly. The claim drops on schedule, and the recurring revenue stops slipping past your billing team.
60+ lab interfaces, two-way
Quest, Labcorp, BioReference, and more than 50 hospital and reference labs connected today. A1c, lipid panels, microalbumin and ACR, vitamin D 25-OH, cortisol and ACTH, aldosterone and renin ratio, IGF-1, prolactin, metanephrines, free and total testosterone, SHBG, and the rest of the endocrine lab universe flow back into the chart as discrete trendable values, routed to the right axis, with the abnormal one flagged for your review.
Titration order sets and dose tracking
Endocrine care is titration. Insulin ladders, GLP-1 escalation, levothyroxine adjustment after a TSH check, bisphosphonate and denosumab cycles, and anabolic bone-agent courses each ship with their own order sets and dose-tracking. A Lab Interpreter reads results in clinical context. The Drug Cost Comparator factors in the real cost of GLP-1 and specialty therapies, a decisive variable when coverage and price decide whether the therapy ever starts.
Hypoglycemia event tracking
Level 1, 2, and 3 hypoglycemia events tracked over time with circumstance, treatment, and follow-up captured as structured fields. CGM low events populate as discrete records. Severe events surface a glucagon prescription prompt and a structured patient-education share, so the next encounter opens on a picture of how the patient has been doing between visits rather than on a question you have to ask blindly.
Gestational and pre-pregnancy workflow
GDM templates pre-loaded with fasting and post-prandial logs, weight-gain tracking, OB co-management notes, and insulin titration ladders for pregnancy targets. Pre-pregnancy planning carries forward stricter A1c targets, folic acid prompts, and a teratogenic-medication review that surfaces the ACE inhibitors, statins, and other agents that need to come off before conception.
Pituitary, adrenal, and parathyroid templates
Cushing’s workup, primary aldosteronism screening, pheochromocytoma evaluation, pituitary mass surveillance, prolactinoma management, acromegaly follow-up, hypopituitarism replacement, Addison’s disease, the adrenal incidentaloma workup, and primary and secondary hyperparathyroidism each ship with their own templates, order sets, calculators, and follow-up cycles. The multi-axis patient is documented on one record rather than scattered across notes nobody can find at midnight.
Osteoporosis and metabolic bone disease
DEXA results come back as structured T-scores by site (lumbar, femoral neck, total hip, distal radius), plot longitudinally, and surface the FRAX calculator with the patient’s risk factors pre-populated. Bisphosphonate, denosumab, and anabolic agent courses carry their own treatment-duration tracking, drug-holiday prompts, and the dental clearance flag for high-dose IV agents. Vitamin D and PTH layer underneath so the secondary causes are not missed.
eRx with EPCS and renal-dose checks
Surescripts e-prescribing with EPCS for controlled testosterone and stimulant prescribing, Id.me identity proofing and MFA already wired. Drug-drug and drug-allergy alerts tuned for endocrine prescribing: metformin and contrast, sulfonylureas and renal function, SGLT2 inhibitors and ketoacidosis risk, GLP-1 contraindications, and PDMP integration at the point of prescribing for the controlled agents that need it.
DSMT and MNT workflow
Diabetes Self-Management Training and Medical Nutrition Therapy workflows with attendance tracking, curriculum templates, sign-off capture, and built-in support for the group and individual codes that pay for the work your CDCES and dietitian already do. The hours log to the encounter, the claim drops, and the structured between-visit education becomes a revenue line instead of a hidden cost.
Population registries and care-gap views
Care-gap and population-registry views run continuously, surfacing the diabetics overdue for an A1c or a retinal screening, the thyroid-cancer patients due for surveillance labs, and the osteoporosis patients overdue for a DEXA. Recall logic turns the lists into outreach through portal, SMS, email, or the GlacePhoneSmart phone agent, so the chronic surveillance your panel needs runs as a managed program rather than as your front desk’s good intentions.
Role-based access and full audit
Each role (medical assistant, nurse, CDCES, dietitian, provider, biller, manager) sees exactly what they need and nothing they do not. Every action is logged. HIPAA-compliant infrastructure, LUKS full-disk encryption in production, single-tenant database per practice so your patient data is not pooled with another practice’s, encryption in transit and at rest, US-based hosting in Tier-III data centers.
MODULES INCLUDED WITH GLACEEMR
Things Other EMR Platforms Charge Extra For. You Get Them.
When you price-out another EMR, count what is included before you compare the headline number. Most of the boxes below are upsells everywhere else. They ship with GlaceEMR. No tier games, no surprise line items at renewal, no third-party vendor management for the modules a real endocrine practice depends on.
Native iOS and Android apps
Phone and tablet apps for providers and staff. Review a CGM upload between cases, sign a refill, message a patient on Sunday morning, see the schedule, take a call from the hospital, all from wherever you are. Native build, not a mobile-friendly browser view, so the experience holds up at the bedside and on the drive home.
CCM, RPM, PCM, BHI, TCM
Care management programs, device monitoring, behavioral health integration for diabetes distress, and transitional care after a DKA or hypoglycemic admission, all built into the chart. No third-party care-management vendor on top. The minutes accrue, the documentation lands in the right field, the eligible time rolls into the claim, and the recurring revenue stops slipping past your billing team.
Self-check-in kiosk
Run check-in on an iPad, an Android tablet, or the patient’s own phone. Demographics, consents, copay, diabetes-history intake, and insurance updates done before the rooming MA gets there. Bilingual English and Spanish so the Spanish-speaking patient does not need an interpreter to update an address or list her current insulin regimen.
Telehealth, PACS, DICOM viewer
HD video, integrated PACS, full DICOM viewer in the chart. No add-on subscriptions, no separate logins, no surprise fees on the renewal. Your CGM-review visit, your thyroid ultrasound review, and your post-DKA follow-up all run on one platform, with one note, in one chart your billing team can code, with GlaceScribe capturing the documentation either in person or in video.
GlaceOffice administration suite
HR, timesheets, PTO, inventory, documents, contracts, credentials, asset management, mail handling, expense tracking, and the KPI dashboard your practice manager actually checks. Free for every Glenwood client. Run the business side without a fifth subscription and a fifth login the front desk has to remember at 7:45 AM Monday morning.
200+ reports and a real report builder
Diabetes registry, A1c-out-of-range cohort, GLP-1 utilization and adherence, statin coverage, microalbumin gap roster, DEXA-due list, MIPS quality measures, denial trends by payer, no-show rate by provider, all running off the same database your clinicians and billers already produce. Custom ad-hoc builder included. No support ticket, no analyst, no consulting fee, no week of waiting for somebody else to write SQL.
GLACERCM FOR ENDOCRINOLOGY
A Billing Service That Knows Endocrine Coding
GlaceRCM charges a percentage of collections, with no base fees, no implementation charges, and no monthly minimums. The service is built for the endocrine code mix and the GLP-1 and pump prior-auth volume that comes with the panel, and our numbers reflect that focus.
95%+
First-pass claim adjudication. Most claims pay on the first submission, with no rework, no resubmission, and no calendar lost to denial follow-up on the GLP-1 and CGM orders your panel runs on.
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 off at 90 days, and the CCM, RPM, and CGM-interpretation revenue lands on your books.
$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.
Claim scrubbing tuned to endocrine codes
Payer-specific and service-specific rules check every claim before submission. The endocrine mix (E&M with MDM-based selection, CGM interpretation, CCM and RPM time tiers, DSMT and MNT, thyroid ultrasound, fine-needle biopsy, DEXA, and the cardiometabolic lab panel) is the bread and butter of our scrubber. Claims that need a fix get fixed before they go out, not after a denial comes back four weeks later with an EOB the front desk has to research.
Prior auth for GLP-1, pumps, and CGM
Our prior-auth team handles the documentation packets for GLP-1 receptor agonists, dual incretin therapies, PCSK9 inhibitors, insulin pumps, continuous glucose monitors, growth hormone, and the bone-active and anabolic agents that drag your medical assistant into a Thursday on hold. Documentation is assembled from the chart, a human reviews and submits, and status is visible in your dashboard rather than a sticky note on a monitor.
Denial management worked to resolution
We do not drop a denial after 90 days. Every claim is tracked to complete resolution: appeals, second-level reviews, payer follow-ups, peer-to-peer when the medical necessity is in dispute on a GLP-1 or pump request. We do not give up on your money. The write-off only happens when you sign off on it, and the report on your dashboard tells you exactly where every disputed dollar stands today.
CCM and RPM time captured for billing
Care-plan time, phone calls, CGM-review minutes, pump-download review, and care-coordination notes are tracked in the encounter and submitted with the right time-tier codes. The work your CDCES and dietitian and care team are already doing produces a real revenue line on your books instead of a hidden cost the practice absorbs every month.
A named billing specialist for your panel
You get a dedicated account manager who knows endocrine 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. You will recognize their voice on the other end.
Percentage of collections, no base fees
No setup fees, no implementation charges, no monthly minimums. We get paid when you get paid. That is the contract, in writing, on every invoice. Your interests and ours are aligned from day one, and our incentive is to collect every dollar you earned, not to bill you for activity that did not produce collections.
Patient statements and US-based call center
Patient statements go out daily, paper and electronic, in English or Spanish. Your patients call our US-based billing call center with questions about balances and statements, not your front desk. Soft collections are handled in-house. Collection-agency escalation only happens on your explicit sign-off. The receptionist who is supposed to be checking in the 9 AM patient is not on a billing call.
Credentialing and payer enrollment included
Provider credentialing and payer enrollment are part of GlaceRCM onboarding, not a separate engagement and not a referral to a third-party credentialing company. New endocrinologists, advanced practice nurses, CDCES staff, and dietitians get credentialed and billing on day one. Medicare-Medicaid revalidations are handled by the same team that runs your billing, so the satellite you open next quarter does not lose six months of revenue to a paperwork queue.
GLACESCRIBE FOR ENDOCRINOLOGY
Ambient SOAP Notes, Tuned to Endocrine Vocabulary
GlaceScribe listens in the room and generates a complete SOAP note structured the way endocrinology writes: trend-driven HPI, system-by-system review, assessment paragraph per active gland and per active problem, plan organized by axis with titration orders, refills, and follow-up. It is built on HIPAA-compliant AI infrastructure from Amazon, Google, Anthropic, Deepgram, ElevenLabs, and other enterprise AI providers. Multi-vendor architecture preserves operational redundancy and continuous improvement, so the scribe gets better over time without ever depending on a single upstream vendor.
It learns your voice, your abbreviation patterns, and your preferred phrasing over time. The first month it sounds like a careful endocrine fellow trying to write the way you write. By month three it sounds like you. ICD-10 and CPT suggestions surface alongside the draft note, including the MDM-supporting language that pushes a complex titration encounter from a 99213 into the 99214 it actually was. All suggestions are reviewed by you before signing. Nothing reaches the chart until you approve it, and the codes never touch the claim until you sign the note. The AI is a careful resident who hands you the note for review; the coding judgment and the billing decision stay with you.
The model is tuned to endocrine vocabulary. The drug families you actually prescribe, the test names you actually order, and the diagnoses you actually carry: Hashimoto thyroiditis and Graves’ disease, Cushing’s syndrome and disease, MODY and LADA, primary aldosteronism, pheochromocytoma, prolactinoma, acromegaly, Addison’s disease, the adrenal incidentaloma, primary and secondary hyperparathyroidism, vitamin D deficiency, osteoporosis with and without fracture, polycystic ovary syndrome, hypogonadism, and gender-affirming hormone management. The scribe captures the titration discussion, the device-data review, and the multi-axis assessment as structured codeable data, folding the trend interpretation into the note so the chart is complete and discrete when the visit ends.
Up to four simultaneous speakers are captured cleanly, so a spouse, an adult child, a school nurse for a pediatric type-1, or a home-health nurse helping with insulin administration in the room is documented alongside the patient without scrambling the assessment. The scribe runs in person and in telehealth, and the same chart receives the note either way. Patient-facing language is supported in English and Spanish, so a Spanish-speaking patient gets the same encounter experience while the clinical documentation lands in English for your billing and reporting.
The outcome is documentation that finishes when the visit finishes. No charting at 9 PM. No weekend catch-up. No pajama time eating into the hours that should belong to your family. You read, edit, sign, and move to the next patient, and the note that gets billed is the note that reflects the work you actually did. You will feel it most in the visits where the typing was always the bottleneck: the brittle type-1 with a hundred-page Dexcom upload to walk through, the new GLP-1 starter who has thirty questions about side effects, the Cushing workup that takes forty minutes to think through, the family meeting around an adolescent type-1 patient where everybody is talking at once and you cannot type fast enough to keep up. The note that used to eat twenty-five minutes after clinic now needs three minutes of review while your MA is rooming your next patient.
POWERED BY GLACEIQ
30+ AI Features, Tuned to the Endocrinologist’s Day
GlaceIQ presents every capability as a suggestion. You review and select. Codes wait for your approval before they touch a claim, and notes wait for your signature before they leave the chart. Compliance-first, physician-in-the-loop, every time. The list below is what runs in the background of your day on GlaceEMR, working on the cognitive load you carry today by hand.
Pre-charting from labs, CGM, and pump
Before the visit, GlaceIQ assembles a pre-chart summarizing recent A1c, CGM time-in-range summary, pump basal and bolus patterns, fasting glucose, thyroid panel, medication changes, hospital activity since last visit, overdue surveillance labs, and last-visit plan items still open. Your fellow or MA reviews it before you walk in, so the first thirty seconds of the encounter are spent on the patient, not on chart review.
A1c trajectory and intervention windows
GlaceIQ surfaces A1c trajectory shifts and the intervention windows that go with them: the patient slipping out of target after a stable run, the new starter whose glucose is responding faster than expected, the post-thyroidectomy patient whose TSH is drifting. Suggestions only, for physician review. You decide whether to intensify, hold, or reassess at the next visit.
Care-gap suggestions inline with the note
Overdue microalbumin, retinal exam, diabetic foot exam, lipid panel, DEXA, thyroid-cancer surveillance labs, and AWV for the Medicare-aged diabetic. GlaceIQ surfaces them in the encounter window so you can address now, schedule next visit, or defer with documented reasoning, in one click each. The MIPS quality measures that drive your reporting accrue as a byproduct of good care.
Refill safety on insulin and GLP-1
For insulin, GLP-1, and the bone-active agents where the last office visit was more than a year ago, or where pending lab results are missing, GlaceIQ flags the refill request for an office or telehealth visit before approval. You decide whether the refill goes out, and the safety check happens before the prescription is sent, not after a hypoglycemic event or a missed pregnancy test.
Denial prediction before submission
Each claim is scored for denial probability based on payer history and code combinations, so the billing team fixes problems before submission instead of working denials after the EOB arrives. The CGM-interpretation claim that would have failed on documentation gets the documentation it needed, the GLP-1 medical necessity gets attached, while you can still adjust the note.
Undercoding detection on MDM
The Undercoding Detector reads the note against the 2021 MDM framework and flags the complex titration visit, the multi-axis Cushing workup, or the new-onset diabetes consult that is being billed as a simple recheck. ICD-10 specificity prompts push past unspecified diabetes and unspecified thyroid codes, which protects both the claim and the risk-adjustment picture for the Medicare Advantage panel.
Patient education in English and Spanish
GlaceIQ suggests condition-specific patient education for the visit’s diagnoses, shareable to the portal in English or Spanish after you review and approve. Diabetes basics, insulin technique, hypoglycemia recognition, carb counting, GLP-1 titration and side-effect management, thyroid hormone replacement, osteoporosis lifestyle, and PCOS metabolic care. The Spanish-speaking diabetic walks out with material she can actually read, not a generic English handout.
AI-powered prior authorization
For GLP-1s, dual incretins, PCSK9 inhibitors, insulin pumps, CGMs, growth hormone, and the bone-active agents that drive auth volume, GlaceIQ assembles the documentation packet from the chart and surfaces it to the billing team for review and submission. The 45-minute manual prior-auth project shrinks to a five-minute review, and the patient gets the medication their condition actually needs.
AI schedule maximization
When the schedule has an opening, GlaceIQ identifies recall, waitlist, and surveillance-due candidates and books them through GlacePhoneSmart or portal outreach. Your panel capacity stops leaking quietly. The 2:30 PM no-show turns into a 2:45 PM visit for the type-1 patient overdue for a CGM-review or the post-thyroidectomy patient overdue for Tg surveillance.
PATIENT ENGAGEMENT FOR ENDOCRINOLOGY
Reach Your Panel Between Visits, Because That Is Where Diabetes Lives
Diabetes and metabolic care is mostly what happens between visits. The patient engagement stack runs on portal, mobile app, kiosk, SMS, email, and phone, with English and Spanish on every patient-facing surface. The seventy-year-old who only opens email and the twenty-eight-year-old type-1 who only opens text both end up on the schedule, both fill out intake before they walk in, and both make their balance payment without your front desk lifting a finger.
Practice-branded portal and mobile app
Patients log glucose, weight, blood pressure, and hypoglycemia events from the mobile app. They request refills, message your staff, view labs, see their CGM summary, and pay bills, all in English or Spanish, all under your practice name, your logo, and your colors. Patients install one app, recognize the brand on their phone, and stay there. Adoption beats the generic vendor-branded portal every time.
GlacePhoneSmart 24/7 line
AI phone agent answers as your practice in English or Spanish, books into real-time scheduler slots, runs recall and reminder campaigns for overdue A1cs and DEXAs, fills cancellations, and surfaces voicemail summaries to your staff. The front desk stops drowning in callbacks during GLP-1 supply-shortage season. Patients reach the practice at 11 PM and still get an appointment for next Tuesday.
SMS and email recall
A1c recalls, microalbumin nudges, retinal-exam reminders, DEXA-due alerts, GLP-1 titration check-ins, post-DKA follow-up, all in patient-preferred language and channel, on the cadence the care plan calls for. Replies route back into the chart as structured tasks, not into an inbox somebody has to read on Monday morning at 7:30 AM with a cup of coffee gone cold.
Bilingual kiosk and digital intake
Self-check-in on iPad, Android tablet, or the patient’s own phone, in English or Spanish. Diabetes-history intake, CGM and pump device intake, thyroid-history questionnaires, and consents arrive before the visit and populate discrete fields in the chart. The rooming MA spends her time on vitals and history instead of typing demographics off a clipboard, and the encounter starts with the picture already in place.
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. The list below is the short version of what runs every day inside the platform for an endocrinology practice:
- 99202 to 99215: office E&M with MDM-based selection for complex endocrine visits
- 95249, 95250, 95251: CGM placement, interpretation, and physician interpretation
- 99490, 99439, 99487, 99489, 99491: Chronic Care Management time-tier codes
- 99453, 99454, 99457, 99458: Remote Patient Monitoring setup and monitoring
- 99424, 99425, 99426, 99427: Principal Care Management
- G0108, G0109: Diabetes Self-Management Training, individual and group
- 97802, 97803, 97804: Medical Nutrition Therapy
- 83036, 82947, 82950, 82951: A1c and glucose lab panels
- 84443, 84439, 84436, 84480, 84481: thyroid function and reverse T3
- 76536, 60100: thyroid ultrasound and fine-needle biopsy
- 77080, 77081: DEXA, axial and peripheral
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR
Most endocrinology practices we onboard are leaving a legacy EMR platform, a horizontal billing-first product, or a specialty-flat ambulatory suite that never quite fit the trend-and-titration load. We have migrated all of them. The transition is the part you dread most, and it is the part we have done hundreds of times.
$0 implementation fee. Data migration is included in the contract: historical patient records, documents, images, active problem lists, current medications, allergies, outstanding orders, and the historical A1c, thyroid, calcium, lipid, and DEXA values that make a trend chart meaningful on day one. EMR go-live in under one week of focused workflow training. RCM transition over 4 to 8 weeks with payer enrollment running in parallel, so the cashflow gap is the smallest possible. We recommend a 30 to 90 day overlap with your previous vendor while the new chart proves itself, and we plan the transition around that overlap rather than against it.
Provider training is delivered in pieces around your real schedule, not as a multi-day disruption that forces you to cancel patients. Your account manager runs the migration and stays your account manager after go-live, so the person who answers your call in month six is the person who set up your workflows in week one. Glenwood has been physician-founded and privately held since Christmas Eve, 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 Time on weekdays, with 24×7 on-call coverage for urgent or critical issues, so the practice that has a problem at 6:30 AM Pacific or 10:00 PM Eastern still reaches a person. You also get unlimited online training through onboarding, included online training for new staff who join later, and a self-help library of workflow documents and videos for the moments when somebody just needs to remember how something works.
What changes on day 1, day 30, and day 90
Day 1. You log in to a chart that already holds your migrated patient history, your active problem lists, your current medication lists, the recent results from your previous system, and the historical A1c, TSH, calcium, lipid, and DEXA values plotted on the trend charts. The endocrinology configuration is already wired in: your templates, your titration order sets, your smart phrases, your code favorites, your gland-by-gland care plans, your DSMT and MNT workflows, your CGM and pump device feeds. You see a chart that looks like a real endocrine chart, not a blank install asking you to build one. Your first few visits run slower because the workflow is new. By the end of the first day, your hands start to remember where everything lives.
Day 30. You are charting faster than you did on the old system because the templates match the way you actually document. You are using GlaceScribe on most visits and your HPIs no longer slow you down. Your first month of CCM and RPM time has rolled into a claim, and your first month of submissions is already on the dashboard. You and your account manager have done the first formal walk-through of the denial queue together. The recall and care-gap workflows are live, and your front desk is starting to fill tomorrow’s schedule from the recall list rather than from whoever calls in. Your CGM and pump uploads land in the chart as structured data, and the discussion at the visit starts with the picture already on screen.
Day 90. Your first quarter’s RCM dashboard shows the new shape: cleaner claims, faster posting, fewer denials parked in the 60-90 bucket. CCM, RPM, PCM, DSMT, and MNT are now real revenue lines on your books that did not exist on the old system. Your HCC capture on the Medicare Advantage diabetic and metabolic panel is climbing. GlacePhoneSmart has visibly cut your front-desk call volume, and your recall campaigns have closed care gaps for hundreds of patients you would not have reached otherwise. The switch starts paying for itself, and the conversation with your account manager turns from migration triage to optimization, the parts of the platform you are ready to use harder next quarter.
QUESTIONS WE HEAR EVERY WEEK
Endocrinology Practice FAQ
The questions below come up in almost every discovery call with an endocrinology practice. Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Does GlaceEMR pull in CGM and insulin-pump data as structured fields?
Yes. CGM uploads from the major sensor families and pump downloads from the major pump families land in the chart as discrete trendable values, not PDFs. Time-in-range, GMI, average glucose, standard deviation, coefficient of variation, basal rates, bolus history, IOB, and site-change events all populate structured fields in the encounter window. Your fellow stops being a copy-paste pipeline between vendor portals and the chart, and the discussion you have with the patient starts on the same picture you would have spent the first ten minutes assembling by hand. The pump and CGM views share a time axis on screen so you see how the insulin delivery and the glucose response match up on the day that matters to the visit.
How does GlaceRCM handle the GLP-1, pump, and CGM prior-auth load?
Our prior-auth team owns it. The documentation packet is assembled from the chart, including the diagnosis specificity, the A1c trend, the prior therapy failures, the BMI history for weight-management indications, and the medical-necessity language each payer asks for. A human reviews and submits, then follows the auth through to approval, peer-to-peer if needed, and appeal if denied. Status is visible in your dashboard rather than on a sticky note on a monitor. Your medical assistant is no longer on hold with a benefits line on Thursday afternoon, and the patient is not the one calling back to ask whether their semaglutide is approved yet. The same workflow runs for PCSK9 inhibitors, growth hormone, testosterone, denosumab, and the anabolic bone agents that drive the rest of your auth volume.
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, and it keeps the platform able to adopt the next generation of voice and language models as they ship. 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, and the data never trains a shared model that mixes your patients with anybody else’s.
How does the CCM and RPM time actually get captured for billing?
The time accrues against the care plan as your staff documents in the patient. Care-plan time, phone calls, CGM-review minutes, pump-download review, refill workups, and care-coordination notes are tracked in the encounter and roll up to the right time-tier code at month-end. RPM device readings flow into the chart and trip threshold reviews, and those reviews are counted toward the RPM time minimums. The claim drops on schedule with the supporting documentation already in the chart, so an audit is a one-click pull rather than a scramble. Most endocrinology practices that switch see real CCM and RPM dollars on the books inside 60 days of go-live, because the work was always being done; the system just had no way to log it before.
What does the GlaceRCM pricing actually look like in practice?
You pay a percentage of what we collect. No base fees, no implementation charges, no setup fees, no monthly minimums. The exact percentage depends on your code mix, your payer panel, and your volume, and you will have it in your hand after a 20-minute discovery call. The contract is straightforward: we get paid when you get paid. You will not see a surprise line item for credentialing, for denial follow-up, for prior auth, for patient statements, or for the call center your patients use to ask about their bills, 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. If your current biller is running below those numbers, what we charge tends to pay for itself out of the dollars you start collecting that you were quietly writing off before.
Do we have to switch EHRs to use GlaceRCM?
Yes. GlaceRCM is a bundled service that includes GlaceEMR clinical software, the practice management software that runs scheduling and charge capture, and the medical billing team that works your claims to resolution. The billing service runs inside our platform because the quality of the billing depends on the quality of the integration: real-time eligibility, claim scrubbing tuned to the actual chart documentation, denial root-cause analysis that closes the loop back to the encounter, and the prior-auth assembly that depends on structured CGM and pump data in the chart. We have spent thirty years learning that hybrid setups produce hybrid results. The good news is that the switch is well-rehearsed: EHR go-live is under one week, data migration runs 2 to 4 business days and is handled by Glenwood, implementation is $0, and the 30-to-90-day overlap with your prior vendor protects continuity. If you want our software without our billing service, GlaceEMR is available standalone for the small minority of practices that prefer to keep their existing billing team. About 98% of Glenwood clients choose the bundled GlaceRCM path.
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