GASTROENTEROLOGY
Gastroenterology EHR and Billing Built for the Clinic and the Procedure Day
GlaceEMR and GlaceRCM built for the GI clinic visit, the procedure schedule, the screening-to-diagnostic modifier, and the IBD biologic prior auth, charged at a percentage of collections with no base fees and backed by 95%+ first-pass claim adjudication and 99%+ collection of payer-allowed amounts*.
*Of payer-allowed amounts.
WHAT WE HEAR FROM GASTROENTEROLOGISTS
Two Practices in One, and the Chart Fits Neither
Gastroenterology is a chronic-disease clinic and an endoscopy operation at the same time. Horizontal EHRs were built for a single office visit, and the record falls apart the moment your day moves between the clinic and the suite. Four pains come up in almost every discovery call.
Charting eats the clinic day
Between scope days, the clinic runs on reflux, IBD, and liver follow-ups, and every note gets typed after hours. The procedure schedule slips because the clinic charting never caught up.
Screening versus diagnostic is a landmine
A screening colonoscopy that converts mid-procedure changes the modifier and the patient’s cost-share. Get modifier 33 or PT wrong and the patient gets a surprise bill, the front desk eats the call, and the practice writes off the adjustment.
Repeat scopes get lost
The advanced-adenoma patient needs a three-year repeat, not the five-year default. When the next-scope date is free text in a follow-up plan nobody reads, the repeat never gets booked and the gap becomes a liability.
IBD biologics eat your margin
Each infliximab, vedolizumab, ustekinumab, or risankizumab dose needs prior auth, a J-code, a units calculation, and buy-and-bill accounting. Miss one of the four and a single infusion becomes a four-figure write-off.
GLACEEMR FOR GASTROENTEROLOGY
One Chart for the GI Clinic and the Procedure Schedule
GlaceEMR is ONC-certified and has run in private gastroenterology practices for years, with 25+ years of company history behind it. The gastroenterology configuration is wired in before training starts, so the chart your team opens on day one already holds your schedule, your recall lists, your code favorites, and the conditions your day actually runs on. Every capability below ships today.
Clinic and procedure scheduling next to the chart
Clinic visits and procedure slots book from the schedule that sits next to the chart, across offices and your ASC. Eligibility is checked before the patient arrives, so coverage questions surface before the prep goes out, not after the EOB.
Recall lists for the repeat scope
You set the next-scope due date when you sign the plan, and the patient goes on a recall list. GlacePhoneSmart reminder calls and portal messages go out ahead of the date, and the list shows who is still unscheduled, so the three-year repeat gets booked at three years.
Labs and hospital results in the chart
60+ lab interfaces bring liver panels, hepatitis serologies, and the labs you follow on IBD therapy back into the chart with abnormal flags, trended over time. ADT and results feeds from 15+ hospitals put the inpatient consult and the ED visit in front of you.
Imaging in the built-in PACS viewer
CT, MRI, and ultrasound open in the built-in PACS and DICOM viewer next to the report, so the liver ultrasound and the MR enterography are a click away during the visit instead of a separate login.
e-Prescribing with EPCS and interaction checks
Biologics, immunomodulators, acid suppression, and controlled substances go out through e-prescribing with EPCS and drug-interaction checks at the point of prescribing, from the same chart you documented in.
Telehealth and the patient portal
IBD and hepatology follow-ups run over telehealth when the patient does not need to be in the room. The portal carries bowel-prep instructions, results, and messages, so prep questions get answered before procedure day.
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 price increase. They ship with GlaceEMR, with no tier games at renewal.
| Capability | Most EMRs | GlaceEMR |
|---|---|---|
| PACS and DICOM viewer for imaging in the chart | Add-on license | Included |
| ASC and hospital-outpatient site-of-service support | Interface or module fee | Included |
| 200+ reports plus a self-serve report builder | Consulting or ticket | Included |
| Self-check-in kiosk | Third-party vendor | Included |
| GlaceOffice administration suite (HR, PTO, credentials) | Separate subscription | Included, free for clients |
| Native iOS and Android apps for providers and staff | Mobile-web only | Included |
A solo practice can grow to a multi-provider group across offices and an ASC on the same platform, with two-way connections to Quest, Labcorp, BioReference, and 15+ hospitals for ADT and inpatient results, and no per-location upcharge when you add a site next quarter.
FROM VISIT TO PAID
One Path, Tracked End to End
GlaceScribe drafts the clinic note, GlaceIQ surfaces the screening-to-diagnostic modifier and coding suggestions for your review, the scrubber checks every claim against payer rules before it goes out, and your named billing specialist works the queue to resolution. One chart and one team carry the dollar from the suite to the deposit, so nothing falls through a handoff between vendors.
GLACERCM FOR GASTROENTEROLOGY
A Billing Team That Knows Endoscopy, Modifiers, and J-Codes
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 billing team sees the full chart, but if you are staying on your EMR our team works your claims there. The service is built for the endoscopy code mix and the IBD biologic panel.
95%+
First-pass claim adjudication. Most claims, including screening-to-diagnostic conversions and infusion J-codes, pay on the first submission, with no rework and no calendar lost to denial follow-up.
99%+
Collection rate of payer-allowed amounts*. The dollars the payer contractually owes you arrive, because we work the queue to resolution instead of writing it off at 90 days.
$0
Implementation fee and setup charge. 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.
Screening-to-diagnostic modifier handling
Our coders bill the screening set from your documentation: modifier 33, modifier PT, screening Z-codes, and the G0105 and G0121 Medicare set. The screen-turned-diagnostic conversion is coded right the first time, so the patient does not get a surprise out-of-pocket bill they were promised they would not see.
IBD biologic prior auth and infusion billing
Infliximab, vedolizumab, ustekinumab, and risankizumab prior auths are assembled by our billing team with the step-therapy documentation from the chart and followed through to decision. Infusion claims go out with the administration codes, J-codes, and NDCs, and every denial is worked.
ASC, office, and hospital-outpatient split
Each case is billed to the right site of service with the right place-of-service code and facility split. Whether the scope ran in your ASC, your office, or a hospital outpatient department, the professional and facility components land on the correct claim instead of a denial.
A named billing specialist
A dedicated account manager who knows GI payer mix in your state, the endoscopy and modifier rules in your top plans, your IBD J-codes, and your top denials. Not a ticket queue, not an offshore call center. They know your practice by name within a month of go-live.
Percentage of collections, no base fees. Provider credentialing, payer enrollment, denials worked to resolution, daily patient statements, and a US-based billing call center are part of the service, not separate line items. Denials are tracked through appeals and second-level reviews; a write-off happens only when you sign off. Your patients call our team about a procedure-day balance, not your front desk.
AI AND PATIENT ENGAGEMENT
The Documentation, the Coding, and the Phones
Every AI capability is a suggestion you review and select. Notes wait for your signature and codes wait for your approval before either reaches a claim, so the coding judgment and the clinical decision stay with you. 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.
GlaceScribe
Ambient SOAP notes structured the way GI writes, with a symptom-driven HPI and a plan organized by workup and follow-up. It recognizes IBD activity language, hepatitis milestones, and reflux and Barrett’s phrasing. Up to four speakers, in person or telehealth.
GlaceIQ
30+ AI features tuned to your day: pre-charting from recent pathology and labs, screening-modifier flagging, AI-assembled prior-auth packets, and per-code reimbursement at charge entry. You review and select each suggestion.
GlacePhoneSmart
An AI phone agent answers as your practice, handles the bowel-prep questions that flood the line before procedure day, books into real suite slots, fills cancellations, and surfaces voicemail summaries so the front desk stops drowning.
A practice-branded portal, mobile app, kiosk, SMS, and email round out the stack. Bowel-prep instructions and prep-day reminders push before the scope, repeat-scope and screening-due recalls go out from your recall lists, and 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 GI practices we onboard are leaving a legacy platform that never connected the clinic, the procedure schedule, and the billing. 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 history, active problem lists, prior procedure reports, and pathology, with your templates, recall lists, and code favorites already wired in. EMR go-live happens in under one week. The first cases run slower because the workflow is new; by end of day your hands start to remember where everything lives.
DAY 30
Charting faster, claims flowing
You are charting faster than on the old system, and GlaceScribe carries most of your clinic HPIs. The first month of procedure claims is on the dashboard, screening-modifier billing is running clean, and your repeat-scope recall list is live and filling next quarter’s schedule.
DAY 90
The switch starts paying for itself
Your first quarter’s dashboard shows cleaner procedure claims, fewer screening-modifier denials, and fewer denials parked in the 60-to-90 bucket. the repeat-scope recall list is being worked, GlacePhoneSmart has cut prep-question call volume, and the conversation turns from migration triage to using the platform harder next quarter.
Data migration covers historical records, prior procedure reports, pathology, problem lists, medications, allergies, and outstanding orders, handled by Glenwood from your prior vendor’s data export in 2 to 5 business days. 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 while the new platform proves itself. Glenwood has been independent and privately held since 1998: 25+ years in market, no outside investors. Support runs 7:00 AM to 8:00 PM Eastern on weekdays, with 24×7 on-call coverage for urgent issues, 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. We have built the workflows, the scrubber rules, the documentation prompts, and the denial templates around them, so the reimbursement you earned is the reimbursement you collect. The list below is the short version of what runs every day inside the platform for a gastroenterology practice:
- 45378, G0121, G0105: diagnostic colonoscopy and Medicare screening codes
- 45380, 45385: colonoscopy with biopsy and with snare polypectomy
- 43235, 43239, 43249: EGD diagnostic, with biopsy, with dilation
- 43260-43278: ERCP family with stenting, sphincterotomy, biopsy
- 43259, 43242: EUS diagnostic and EUS with FNA
- Modifier 33, PT: preventive identifier and screen-turned-diagnostic
- 91110, 91111, 91113: capsule endoscopy esophageal, small bowel, and colon
- 96365, 96413: therapeutic and complex infusion codes for IBD biologics
QUESTIONS WE HEAR EVERY WEEK
Gastroenterology Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
How does GlaceEMR keep repeat colonoscopies from slipping?
You set the next-scope due date when you sign the plan, and the patient goes on a recall list with that date. The list shows who is due, overdue, or still unscheduled, so the advanced-adenoma patient who needs a three-year repeat gets booked at three years instead of drifting to the five-year default. GlacePhoneSmart reminder calls and portal messages reach the patient ahead of the date, the procedure slot books from the schedule that sits next to the chart, and eligibility is checked before the prep goes out. When the scope is billed, our coders apply modifier 33 or PT from your documentation, so the screening-versus-diagnostic cost-share comes out right.
Does GlaceRCM handle the screening-to-diagnostic modifier conversion correctly?
Yes. Our coders bill from your documentation: modifier 33 for the preventive identifier, modifier PT for the screen-turned-diagnostic conversion, the screening Z-codes, and the G0105 and G0121 Medicare set. When a planned screening colonoscopy converts mid-procedure because you found and removed a polyp, the claim reflects the conversion with the right cost-share so the patient does not get a surprise out-of-pocket bill they were promised they would not see. Across a typical GI practice, the screening-to-diagnostic mishandling alone is a five-figure annual leak, and getting it right the first time is the single most common reason a GI group sees a clean change in collections after they switch.
How does GlaceRCM handle IBD biologic prior auth and infusion billing?
Our billing team assembles the prior-auth packet from the chart for infliximab, vedolizumab, ustekinumab, and risankizumab: diagnosis, prior failed agents, and step-therapy documentation. The team validates and submits it, and follows the auth through to decision. Infusion claims go out with the administration codes, the J-code, and the NDC, originator versus biosimilar billed as documented, and every denial is worked through appeals; a write-off happens only when you sign off. On an IBD panel running two hundred patients on biologics, keeping auths current and denials worked is where the margin is.
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 clinic. 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. 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.
Do you support ASC and hospital-outpatient site-of-service billing, and can we keep our EMR?
Yes on both. Each case is billed to the right site of service with the right place-of-service code and the right professional and facility split, whether the scope ran in your own ASC, your office, or a hospital outpatient department. On the EMR question, we would rather run the full GlaceRCM bundle, where the billing quality depends on the billing team seeing the full chart, and most Glenwood clients choose that path. But we are flexible: if you want to keep your current EMR, our billing team will work your claims in your EMR or ours. You will not see surprise line items for credentialing, denial follow-up, prior auth, statements, or the patient call center, because all of that is part of the service, billed at a percentage of collections with no base fees.
“Collection is great. Very good support systems.”
Dolly Manvar, MD
New York
If you carry adjacent panels, see how GlaceEMR runs internal medicine, family medicine, colorectal surgery, and hepatology.
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.