NEUROLOGY
An EHR Built for the Long Arc of Neurology
MS disease-modifying therapy with MRI surveillance, epilepsy with AED levels and seizure diaries, Parkinson levodopa titration, CGRP eligibility workups, and the new Alzheimer antibodies with ARIA monitoring. The structured neuro exam, the trended diary, and the J-code infusion bill all live in one chart, 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 NEUROLOGISTS
The Problems Neurology Practices Tell Us About
Neurology manages conditions measured in years, not visits, and the chart most neurologists run was built for somebody else. The horizontal EMR was fine for a primary-care complaint visit. It buckles the moment you carry a real MS panel, an epilepsy panel, a chronic-migraine infusion suite, or a new Alzheimer-antibody program with ARIA surveillance. The list below is what we hear in the first thirty minutes of every discovery call with a neurology practice.
The seizure history disappears into free text. Frequency, type, trigger, AED change, breakthrough event, postictal description, all of it scattered across two years of free-text follow-up notes. There is no structured longitudinal view, so the serial question (is this drug working, is the patient drug-resistant, do we need an epilepsy-center referral) is something you reconstruct in your head every visit. The chart never crosses the threshold where two AEDs at adequate dose have failed, because the threshold is not a structured field. Patients who should have been at a comprehensive epilepsy center two years ago stay on your panel because the data needed to make the case never made it out of the prose.
EEG and imaging arrive as PDFs and stay there. The interpretation lives in a report attached to the chart that nobody can search and nothing can reason about. Was the routine EEG normal, abnormal with epileptiform features, or abnormal with focal slowing? Was the brain MRI stable from last year or did the T2 lesion count increase? You scroll three pages of report text to remember, every visit, every patient. The serial picture that should define an MS panel or a refractory epilepsy panel is hand work, done over and over.
Infusion biologics are operationally heavy and the revenue leaks every month. Ocrelizumab for MS. Natalizumab. Eptinezumab for migraine prevention. Onabotulinumtoxin A for chronic migraine. Each one carries authorization documentation, infusion scheduling, structured infusion notes, J-code billing with units and waste, and a 12-week or 24-week recall cycle that has to run on time or the patient lapses. Spread that work across the EHR, a separate infusion log, a separate scheduling tool, and a separate billing platform, and a six-figure share of your infusion revenue quietly leaves the building every year.
The new Alzheimer antibodies have nowhere to live in the chart. Lecanemab and donanemab demand a structured ApoE4 status in the header, structured ARIA-E and ARIA-H grading per surveillance MRI, dose-pause and dose-resume documentation, infusion scheduling synced to the MRI cadence, and informed-consent tracking for the patient and the caregiver. Most platforms have no place for any of it. You are running a high-acuity, high-cost program on a chart that was not designed to track the data the program runs on.
Chemodenervation for chronic migraine bills wrong half the time. The PREEMPT injection map is 155 units across 31 fixed and 8 follow-the-pain sites. The J0585 unit math and the chemodenervation procedure code (64615) need to come out exactly right or the claim denies or pays under what it should. Unit waste has to be documented to support full billing. When the procedure note lives in one system and the J-code claim lives in another, the documentation never quite supports the bill, and the practice eats the difference.
Prior authorization eats your staff. CGRP inhibitors, MS disease-modifying therapy, the new Alzheimer antibonies, botulinum-toxin renewals, sleep-medicine stimulants. Each one is a documentation packet, a portal submission, a payer phone call, a peer-to-peer when the first attempt comes back denied. Across a typical neurology panel, prior-auth work consumes more staff hours than scheduling, and the staff member assembling the packet is doing it from scratch every time because the chart cannot assemble the packet from the encounter that already happened.
EMG and NCS coding is its own minefield. The NCS add-on tables (95907 through 95913) cascade by study count. The EMG limb codes (95860 through 95864) depend on the muscles you actually needled. Same-day separate-procedure rules apply when an EMG follows an office visit. NCCI edits, payer-specific bundling rules, and the documentation prompts the report has to satisfy: it is a code-mix that fails routinely when the scrubber does not understand what neurology actually billed.
Your software bill keeps growing for things that should be one product. Separate vendor for the infusion log. Separate vendor for the headache diary and seizure-tracker portal. Separate vendor for the patient portal. Separate vendor for telehealth. Separate vendor for the AI scribe somebody added last year. Separate vendor for the kiosk. Each renews on its own schedule, each lifts price every twelve months, and each integrates with the others only when one of them feels like it. The office manager prints the SaaS list and the number is bigger than the salary line for a midlevel.
GLACEEMR FOR NEUROLOGY
An EHR Built for Neurology, Not Adapted to It
GlaceEMR is ONC-certified and has been deployed in private neurology practices for years, with 30+ years of company history behind it. Every feature below is in the platform today. The neurology configuration (structured neuro exam, seizure diary, headache log, MS DMT and MRI surveillance, infusion flowsheet, PREEMPT diagram, ARIA grading, EMG and NCS templates) is wired in before training starts. The chart your team opens on day one already knows the conditions, the scales, and the workflows your day actually runs on.
A structured neuro exam, not a paragraph
The centerpiece is a true structured neurological exam: mental status, cranial nerves, motor (with MRC grading per muscle group), sensory (with dermatome and modality), reflexes (with grading), coordination, and gait. Each field is discrete, trends across visits, and feeds the serial picture that defines progression in MS, ALS, neuromuscular disease, and stroke recovery. Smart phrases (.neuroexam, .headachefu, .epilepsyfu, .msfu) expand the full templated text when you want prose, while the discrete data still lives underneath.
Seizure diary with frequency trending
Structured seizure tracker by date, type (focal aware, focal impaired awareness, focal-to-bilateral, generalized tonic-clonic, absence, myoclonic, atonic), trigger, duration, postictal state, and patient-reported severity. Frequency plotted over months and years with AED change overlays so the response to a regimen change is visible at a glance. Drug-resistant epilepsy criteria flag when two AEDs at adequate dose have failed, surfacing the epilepsy-center referral conversation at the right visit rather than three years late.
EEG capture as structured findings
Routine, prolonged, ambulatory, and long-term monitoring results captured as structured fields: background, epileptiform abnormalities, focal slowing, captured seizures, and sleep-stage characterization. The PDF report attaches alongside, but the categorical findings live as discrete data, so old EEGs are searchable by category at follow-up and the trend over a year of monitoring is something the chart can show you, not something you have to reconstruct from a stack of attached files.
EMG and NCS templates that match the report
EMG and NCS templates with the muscle grid and nerve grid you actually use: motor and sensory amplitude and velocity, F-wave latency, H-reflex, late responses, and repetitive stimulation. Pre-built study templates for carpal tunnel syndrome, ulnar neuropathy at the elbow, lumbosacral radiculopathy, peripheral polyneuropathy, and myasthenia gravis assessment. The CPT add-on tables (95907 to 95913 for NCS, 95860 to 95864 for needle EMG) are enforced by the chart, so the count of studies billed matches the count of studies documented.
MS visit with EDSS, MRI, and DMT history
MS templates carry EDSS, MSFC, relapse log, DMT history with dates and reasons-for-change, JCV antibody status, vitamin D, and annual brain MRI with structured T2 lesion count and gadolinium-enhancing lesion count. Progression is visible across the chart timeline. NEDA-3 status is calculated and surfaced for review. The visit closes with a current-DMT plan, a next-MRI date, and a JCV recheck that lives in the chart, not on a sticky note.
Headache log, MIDAS, and CGRP tracking
Headache diary with headache days per month, MIDAS, HIT-6, medication-overuse tracking, and a structured trigger inventory. Per-patient tracker for the CGRP class: erenumab, fremanezumab, galcanezumab, eptinezumab, and the gepants. Response over six and twelve months is plotted against headache-day count, so the conversation about continuing versus switching therapy is based on the chart rather than the patient’s recollection at the desk.
PREEMPT injection map and Botox documentation
The PREEMPT diagram lives in the chart: 155 units across 31 fixed and 8 follow-the-pain sites for chronic migraine. Pre-built diagram, unit total, lot and expiration, dilution, and the 12-week recall are all built into the procedure note. Unit waste is documented to support full J0585 billing, the chemodenervation code (64615) attaches automatically, and the next cycle drops into the schedule before the patient leaves the chair.
Infusion flowsheets for biologics
Infusion flowsheets for ocrelizumab, natalizumab, ublituximab, eptinezumab, alemtuzumab, and edaravone. Pre-medications, baseline and serial vitals, infusion rate steps, infusion reactions and management, post-infusion observation period. Chair-time is captured to support the hierarchical infusion code billing (96365 initial, 96366 sequential, 96367 concurrent, 96368 secondary, plus J-codes by NDC and unit), and the documentation backs the highest-paying primary code per encounter.
ARIA monitoring for the new amyloid antibodies
For lecanemab and donanemab, structured ARIA-E and ARIA-H grading per surveillance MRI, dose-pause and dose-resume logic, ApoE4 status carried in the chart header, and the infusion-and-MRI cadence linked. Caregiver education and informed-consent tracking are built into the program. The infusion does not get scheduled when the prior MRI is missing or the prior ARIA grade has not been reviewed, and the documentation that supports the next dose decision is in front of you when you make it.
Parkinson and movement disorder workflow
MDS-UPDRS, Hoehn and Yahr stage, motor fluctuations, dyskinesia, and dopaminergic regimen all tracked. DBS programming notes, levodopa equivalent daily dose calculator, and tremor-related ICD-10 selection in the order set. The visit captures wearing-off, freezing-of-gait, and orthostatic-symptom screening with the structured fields the panel actually depends on, so titration decisions are made against trended scores instead of remembered impressions.
Dementia workups and biomarker capture
MoCA, MMSE, MIS, CDR, caregiver intake, advance-directive tracking, and a structured cognitive-decline timeline. The reversible-cause lab order set is built in: TSH, B12, RPR, basic metabolic, vitamin D, plus structural imaging. Amyloid PET and CSF biomarker results capture as structured values, and the 99483 cognitive assessment and care-plan code surfaces when the documentation supports it. The behavioral component of the visit lives in the chart, so the family conversation that happens at month nine has the data behind it.
Stroke follow-up and secondary prevention
Post-stroke follow-up templates carry the NIHSS at presentation, mRS at follow-up, anticoagulation regimen with the CHA2DS2-VASc rationale, lipid and blood-pressure targets, and the rehab coordination the recovery panel actually needs. TIA workup, hypercoagulability assessment, and the cryptogenic-stroke embolic-source evaluation are wired in, so the secondary-prevention plan is structured rather than reconstructed.
Integrated PACS and DICOM viewer
Brain MRI, MRA, CT head, MR spectroscopy, and lumbar spine images viewable inside the chart alongside the radiologist report. Lesion measurements store across surveillance scans for MS and amyloid-antibody monitoring. No separate viewer to launch, no add-on license fee on the renewal. The chart your front desk pulls at check-in shows you the imaging you ordered last week, on the same screen.
eRx with EPCS, PDMP, and AED safety
Surescripts e-prescribing with EPCS for controlled substances, Id.me identity proofing, and drug-drug and drug-allergy interaction alerts at the point of order, tuned to the AED, MS DMT, CGRP, and Parkinson regimens neurology actually prescribes. PDMP integration runs inside the prescribing moment for the stimulants, sodium oxybate, and controlled migraine therapies on the panel. AED-level checks and DMT-monitoring labs fire as alerts when the next draw is due.
60+ lab interfaces with AED-level trending
Quest, Labcorp, BioReference, and 50+ hospital and reference labs connected today. AED levels (valproate, phenytoin, carbamazepine, levetiracetam, lamotrigine), DMT monitoring (CBC, LFT, JCV index), and stroke-panel labs flow back into the chart with trending across years. Abnormal values flag themselves, the AED level lands on the problem that ordered it, and the SmartInbox consolidates results, refills, messages, and tasks into one prioritized worklist.
MODULES INCLUDED WITH GLACEEMR
Things Other EMRs Charge Extra For. You Get Them.
When you price-out another EMR for a neurology practice, count the modules already 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 neurology suite depends on every day.
Native iOS and Android apps
Phone and tablet apps for providers and staff. Review a seizure diary, sign a refill, message a caregiver, see the next-day infusion list, take a hospital call. Native build, not a mobile-friendly browser view, so the experience holds up at the bedside and on the drive home after an ARIA-monitoring MRI gets called in late.
CCM, PCM, BHI, TCM
Chronic Care Management and Principal Care Management tuned to epilepsy, MS, Parkinson, dementia, and chronic-migraine populations. CoCM and Behavioral Health Integration billing wired for the depression and anxiety co-management that travels with chronic neurological disease. Transitional Care Management built in so the post-stroke and post-hospitalization clock starts on time. Eligible time accrues against the care plan and rolls into the claim.
Self-check-in kiosk
Run check-in on an iPad, an Android tablet, or the patient’s own phone. Demographics, consents, copay, intake forms, headache and seizure diary updates, and insurance updates, all done before rooming. Bilingual English and Spanish so the elderly Spanish-speaking patient with a caregiver does not need an interpreter to confirm an address before her infusion.
Telehealth, PACS, DICOM viewer
HD video built into the EHR, integrated PACS, full DICOM viewer in the chart. Your post-infusion check-in, your MS DMT follow-up, your med-titration call with a Parkinson patient, and your caregiver-conference for a dementia family all run on one platform, with one note, in one chart your billing team can code. Group and multi-party visits are supported when an interpreter or caregiver joins.
GlaceOffice administration suite
HR, timesheets, PTO, inventory tracking (including the J0585 vial log), documents, contracts, credentials, asset management, mail handling, expense tracking, and the KPI dashboard your practice manager checks every morning. Free for every Glenwood client. Run the business side of a neurology practice without a fifth subscription and a fifth login.
Multi-location, multi-provider, role-based
Grow from solo to a 15-neurologist group across a main office, an infusion suite, an EEG lab, and a hospital rounding location on one platform without renegotiating the contract or rebuilding the configuration. NP, PA, RN, and MD role scopes configured per location. No per-location upcharge. Add a satellite next quarter and the chart works the same way Monday morning.
200+ built-in reports and a real builder
Drug-resistant epilepsy registry, MS DMT utilization, biologic infusion volume, PREEMPT cohort, lecanemab and donanemab ARIA tracking, payer-mix, MIPS quality measures by clinician. Custom ad-hoc builder included so the registry your epileptologist needs by Friday for a partner meeting is something you build yourself, not a support ticket your analyst opens and waits a week for.
Hospital ADT and discharge documents
15+ hospital interfaces deliver ADT notifications, discharge summaries, and inpatient EEG and imaging results straight into the chart. You know your epilepsy patient was admitted for status before they call you. The TCM clock starts on time for your post-stroke patient with the discharge summary already in hand, the medication-reconciliation work is half-done before the patient walks in, and the seven-day phone call does not slip.
Role-based access and full audit
Each role (medical assistant, infusion nurse, EEG tech, provider, biller, manager) sees what they need and nothing they do not. Every action is logged. HIPAA-compliant infrastructure, single-tenant database per practice so your data is not pooled, LUKS full-disk encryption in production for data at rest, encryption in transit, and US-based hosting in Tier-III data centers in NYC and SFO.
GLACERCM FOR NEUROLOGY
A Billing Service That Knows Your Neurology Code Mix
GlaceRCM charges a percentage of collections with no base fees, no implementation charges, and no monthly minimums. The service is built for the neurology code mix (complex E/M, EMG and NCS, EEG, PREEMPT chemodenervation with J0585, infusion administration with J-codes, lecanemab and donanemab) and the payer behavior that goes with it.
95%+
First-pass claim adjudication. Most claims pay on the first submission, including the infusion-hierarchy and chemodenervation lines where unit and J-code errors are usually costly.
99%+
Collection rate of payer-allowed amounts*. The dollars the payer contractually owes you actually arrive, including the chemodenervation and infusion revenue most practices quietly write off.
$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.
Infusion hierarchy and J-code accuracy
Initial, sequential, concurrent infusion codes (96365, 96366, 96367, 96368) and chemotherapy-class infusion codes (96413, 96415, 96417) are ordered so the highest-paying primary code is selected per encounter. J-codes (J2350 ocrelizumab, J2323 natalizumab, J2778 ranibizumab, J3032 eptinezumab, J0585 onabotulinumtoxin A, and the new J-codes for the amyloid antibodies) are priced per NDC, units calculated from the chart, and waste documented to support full billing. Pre-medication and saline rules handled.
Claim scrubbing tuned to neurology
Every charge runs through payer-specific and service-specific validation before submission. EMG add-on bundling per NCCI, Botox unit-and-waste rules, EEG frequency limits, infusion hierarchy enforcement, and AED-level claim rules get checked before submission, not after a denial arrives four weeks later with an EOB. The mix neurology bills is the bread and butter of our scrubber.
Prior auth assembled from the chart
Documentation packets for ocrelizumab, natalizumab, eptinezumab, erenumab and the rest of the CGRP class, lecanemab, donanemab, and PREEMPT renewals get assembled by our team. AI-assisted documentation pull from the encounter, human follow-through with the payer, status visible on your dashboard. The 45-minute manual prior-auth project shrinks to a five-minute physician review.
EMG and NCS coding to NCCI
NCS add-on tables (95907 to 95913) and EMG limb counts (95860 to 95864) coded according to NCCI and payer-specific edits. Same-day separate-procedure rules enforced. Documentation prompts surface what the report has to satisfy before the claim leaves. The denial template library covers the situations the payer most commonly disputes (study-count documentation, medical-necessity language by diagnosis, modifier logic).
Denial management worked to resolution
When an infusion, EMG, Botox, or amyloid-antibody claim denies, our team works it. Appeals get assembled, documentation pulls from the chart and the infusion flowsheet, peer-to-peer happens when the medical necessity is contested, and payer follow-up runs to resolution. The write-off only happens when you sign off, and the dashboard shows exactly where every disputed dollar stands today.
A named billing specialist for your practice
You get a dedicated account manager who knows neurology payer mix in your state, the codes you bill, your top denials, and your infusion-suite throughput. 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 of every call.
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. 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 confirming tomorrow’s infusion list is not on a billing call.
Credentialing and infusion-site enrollment
Provider credentialing, payer enrollment, and infusion-site enrollment are part of onboarding, not a referral to a third-party credentialing company. New neurologists, NPs, and PAs added to commercial and Medicare panels, and the infusion suite enrolled on the buy-and-bill biologics that pay for it. The credentialing workflow keeps the new provider billing on day one instead of waiting six months for an enrollment letter.
GLACESCRIBE FOR NEUROLOGY
Ambient SOAP Notes, Tuned to Neurology Vocabulary
GlaceScribe listens in the room and generates a complete SOAP note structured the way neurology writes: chief complaint, neurological history with serial context, structured neuro exam, assessment paragraph per active problem, plan organized by problem with orders, AED or DMT or CGRP titration, and follow-up cadence. 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.
The model is tuned to the vocabulary neurology actually uses. AED names like levetiracetam, lacosamide, lamotrigine, brivaracetam, perampanel, cenobamate, and clobazam. MS DMTs like ocrelizumab, ofatumumab, ublituximab, natalizumab, fingolimod, dimethyl fumarate, and the new high-efficacy entrants. CGRP and gepant names like erenumab, fremanezumab, galcanezumab, eptinezumab, rimegepant, and ubrogepant. The amyloid antibodies lecanemab and donanemab. Movement-disorder vocabulary like levodopa-carbidopa, rasagiline, amantadine, and the structured ICD-10 selection for tremor subtypes. Scales the chart speaks fluently: MoCA, EDSS, MDS-UPDRS, MIDAS, HIT-6, NIHSS, MRS, CHA2DS2-VASc.
In a seizure follow-up, the scribe captures the seizure-count discussion, AED adjustment, side-effect screening, and the next-step plan. In an MS infusion-decision visit, it captures the EDSS exam findings, the MRI-lesion discussion, the JCV status conversation, and the DMT plan. In a caregiver-present dementia visit, it differentiates patient and caregiver voices and threads both into the note. In a chronic-migraine procedure visit, it pairs the headache-day discussion with the PREEMPT injection-map documentation, so the procedure note and the office-visit note both close out together. You leave the room with a signed note, not a chart queued up for that night.
ICD-10 and CPT suggestions surface alongside the draft note. Chemodenervation (64615), the J0585 unit-and-waste lines, the infusion hierarchy primary code, the EMG and NCS counts (95907 to 95913, 95860 to 95864), and the cognitive-assessment code (99483) all appear as suggestions for your review. 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.
Up to four simultaneous speakers are captured cleanly, so a spouse, an adult child, a home-health nurse, or a caregiver for a patient with cognitive impairment 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 clinical documentation lands in English for your billing and reporting.
You will feel it most in the visits where typing was always the bottleneck. The new MS consult with three years of outside-records to unpack. The caregiver-present dementia visit where the family is talking over each other and you cannot type fast enough to keep up. The post-hospital follow-up for the patient who had status epilepticus and you need to absorb six pages of discharge summary in three minutes. Most neurologists tell us, by month two, that the documentation that used to eat ninety minutes after clinic now needs ten minutes of review while the MA is rooming the next patient.
All AI output is presented as suggestions for physician review. Nothing signs, codes, or submits without you.
POWERED BY GLACEIQ
30+ AI Features, Tuned to the Neurologist’s Day
GlaceIQ runs as suggestions across the chart. 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 MRI, infusion, and AED history
Before the patient walks in, GlaceIQ assembles recent MRI findings, the lesion-count delta, last infusion date, current DMT, AED levels, headache-day count, and overdue surveillance into a pre-chart for your review. Your MA reads it before you walk in, so the first thirty seconds of the encounter are spent on the patient, not on chart review.
Drug-resistant epilepsy flagging
When two AEDs at adequate dose have failed by the structured seizure-tracker data, GlaceIQ surfaces drug-resistant epilepsy criteria with referral options (epilepsy-center evaluation, surgical workup, VNS, RNS). The visit closes with the referral conversation in the chart, the referring-provider letter generated from the encounter, and the loop closed. Suggestions only; the physician decides.
Infusion code suggestions at charge entry
After an infusion is documented, GlaceIQ suggests the primary, sequential, and concurrent code hierarchy with J-code units and waste from the flowsheet. The provider confirms before the charge releases. The 96365 versus 96413 decision, the unit math on J0585 or J2350, and the pre-medication documentation all get reviewed before the claim drops, while you can still adjust the note.
ARIA surveillance reminders
For lecanemab and donanemab patients, GlaceIQ surfaces missing scheduled surveillance MRIs and prior ARIA grades when the next infusion is being scheduled. The dose-pause and dose-resume logic remains a physician decision, but the chart will not let the infusion be scheduled blind, and the documentation that supports the decision is in front of you when you make it.
AED refill safety
AED, MS DMT, CGRP, stimulant, and Parkinson refill requests get flagged when the last visit is older than a year, when surveillance labs are pending, when an AED level is overdue, or when an MRI is overdue. The provider decides whether the refill goes out, and the safety check happens before the prescription is sent, not after a complication. Pregnancy-planning prompts surface for the women-of-childbearing-age AED panel.
Denial prediction before submission
GlaceIQ scores each claim 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 chemodenervation claim that would have failed on unit documentation gets the documentation it needed, while you can still adjust the procedure note. EMG add-on bundling gets reviewed before the claim leaves.
AI-powered prior authorization
For CGRP inhibitors, MS DMTs, the new Alzheimer antibodies, PREEMPT renewals, and the high-cost biologics, GlaceIQ assembles the documentation packet from the chart for the billing team to finish, validate, and submit. The 45-minute manual prior-auth project shrinks to a five-minute physician review. The patient gets the medication their condition actually needs, on the cadence the protocol calls for.
Patient and caregiver education suggestions
Bilingual education on seizure first aid, AED side effects, MS disease education, CGRP self-injection technique, lecanemab infusion preparation, and caregiver resources for dementia can share to the portal after you approve. The Spanish-speaking caregiver of the patient with mild cognitive impairment walks out with material she can actually read, on the diagnosis you actually documented.
AI schedule maximization
When the schedule has an opening, GlaceIQ identifies recall, waitlist, and surveillance candidates (the MRI-due MS patient, the AED-level-due epilepsy patient, the next-cycle PREEMPT patient) 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 PREEMPT cycle the patient was already late for.
Part of 30+ AI features across the Glace suite. All suggestions require physician review before any action.
PATIENT ENGAGEMENT FOR NEUROLOGY
Reach the Panel Where the Caregiver Already Is
Chronic neurological care depends on what happens between visits. The headache log fills in, the seizure diary fills in, the next surveillance MRI gets scheduled, and the next PREEMPT cycle drops on the calendar. Your patient engagement stack runs on portal, mobile app, kiosk, SMS, email, and phone, with English and Spanish on every patient-facing surface, and proxy access for the caregiver when consented.
Practice-branded portal and mobile app
Patients log seizures, headaches, tremor episodes, and medication side effects from the mobile app between visits. Caregivers get proxy access where consented. Labs, MRI results, secure messaging, scheduling, infusion-cycle confirmations, and bill pay, all in English or Spanish, all under your practice name and your colors. Adoption beats the generic vendor-branded portal because the patient trusts the practice they already know.
GlacePhoneSmart 24/7 line
AI phone agent answers as your practice in English or Spanish, schedules infusions, reschedules PREEMPT cycles, runs proactive recall for surveillance MRIs and follow-ups, fills cancellations, and surfaces voicemail summaries to your staff. The front desk stops drowning in calls during infusion season. The caregiver of a dementia patient reaches the practice at 11 PM and still gets an appointment for next Tuesday.
Infusion and MRI reminder cycles
SMS, email, and portal sequences for infusion prep (hydration, pre-meds, pre-infusion labs), PREEMPT 12-week recall, lecanemab and donanemab surveillance MRI scheduling, MS annual brain MRI, and AED level draws. Communication preferences respected. Replies route back into the chart as structured tasks, not into an inbox somebody has to read on Monday morning.
Bilingual kiosk and diary intake
Self-check-in on iPad, Android tablet, or the patient’s own phone, in English or Spanish. The headache diary, the seizure log, the cognitive-screening update, and the caregiver-completed intake happen before the patient reaches the chair, so the rooming MA spends time on vitals and the structured exam instead of typing demographics off a clipboard. The diary data lands in the chart as discrete fields the chart can trend.
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 a neurology practice:
- 99202 to 99215: office E/M with MDM-based selection and prolonged service add-ons
- 95812, 95813, 95816, 95819, 95822, 95957: routine, prolonged, and digital EEG analysis
- 95907 to 95913: nerve conduction study add-on tables (1-2, 3-4, 5-6, 7-8, 9-10, 11+ studies)
- 95860, 95861, 95863, 95864: needle EMG by limb count
- 64615, J0585: chemodenervation for chronic migraine (PREEMPT, 155 units across 31 fixed and 8 follow-the-pain sites)
- 96365, 96366, 96367, 96368, 96413, 96415, 96417: infusion code hierarchy
- J2350, J2323, J3032: ocrelizumab, natalizumab, and eptinezumab J-codes
- 99483: cognitive assessment and care-plan for dementia
- 99490, 99439, 99491, 99437, 99424, 99425: CCM and PCM for the chronic neurological panel
- 99495, 99496: TCM for the post-stroke and post-status-epilepticus discharges
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR
Most neurology practices we onboard are leaving a legacy EMR platform, a horizontal billing-first product, or a specialty-flat ambulatory suite that never quite held the serial picture neurology depends on. 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. We know where seizure histories break in the export, where infusion records get lost, and where DMT timelines need to be hand-reconciled.
$0 implementation fee. Data migration is included in the contract: historical patient records, documents, images, active problem lists, AED and DMT history, EEG and EMG reports, prior infusion history where the source system supports the export, current medications, allergies, and outstanding orders. EMR go-live in under one week of focused workflow training. RCM transition over 4 to 8 weeks with payer enrollment and infusion-site 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 AED and DMT history, your prior EEG and EMG reports, and the recent results from your previous system. The neurology configuration is already wired in: your structured neuro exam, your seizure diary and headache log, your MS templates, your PREEMPT diagram, your infusion flowsheets, your ARIA grading, your code favorites, your smart phrases. You see a chart that looks like a real neurology 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. GlaceScribe is in most visits and your HPIs no longer slow you down. Your first cycle of PREEMPT and your first month of infusion billing have dropped clean. Your account manager has done the first formal walk-through of the denial queue together with you. The MRI surveillance and AED-level recall workflows are live, and your front desk is starting to fill tomorrow’s schedule from the recall list rather than from whoever called in.
Day 90. Your first quarter’s RCM dashboard shows the new shape: cleaner claims, faster posting, fewer denials parked in the 60-90 bucket on the infusion-and-chemodenervation lines that used to age the longest. CCM and PCM are now real revenue lines on your books that did not exist on the old system. Your drug-resistant epilepsy registry, your MS DMT utilization report, and your PREEMPT cohort are live. GlacePhoneSmart has visibly cut your front-desk call volume, and your recall campaigns have closed surveillance 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.
QUESTIONS WE HEAR EVERY WEEK
Neurology Practice FAQ
The questions below come up in almost every discovery call with a neurology practice. Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Does GlaceEMR handle infusion billing and the J-code unit math correctly?
Yes. The infusion flowsheet captures chair-time, pre-medications, infusion-rate steps, reactions, and the post-infusion observation period as discrete data. From that, GlaceIQ suggests the primary, sequential, and concurrent code hierarchy (96365, 96366, 96367, 96368, with the chemotherapy-class 96413, 96415, 96417 where applicable) and prices the J-codes by NDC with units and waste calculated from the vial log. The provider confirms before the charge releases. The chemodenervation case (64615 plus J0585) is the same pattern: the PREEMPT injection-map documentation produces the unit count, the waste documentation produces the waste line, and the chart-to-claim trace is auditable end to end. Practices that switch from a setup where infusion records lived outside the EHR typically see the infusion-line recovery start showing up on the first month’s dashboard.
How does GlaceEMR handle ARIA monitoring for lecanemab and donanemab?
The amyloid-antibody workflow is structured end to end. ApoE4 status sits in the chart header. Each surveillance MRI captures ARIA-E and ARIA-H grading as discrete fields. The chart links the infusion cadence to the MRI cadence, so an infusion does not get scheduled when the prior MRI is missing or the prior ARIA grade has not been reviewed. Dose-pause and dose-resume documentation lives in the chart, with the rationale and the physician signature. Caregiver education and informed-consent tracking are part of the workflow, in English and Spanish. The program runs as a managed program with the surveillance, the infusion, and the documentation on the same data, and the J-code billing on the new amyloid antibodies is supported alongside.
Is GlaceScribe HIPAA-compliant, and how does it handle a caregiver-present visit?
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, so the dementia visit with a patient and an adult-child caregiver, or the MS visit with a spouse, gets documented with both voices threaded into the right parts of the note. English and Spanish patient-facing, all coding and order suggestions surface for your review before any signing. Audio is processed in transit, the 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.
What does the GlaceRCM pricing actually look like for a neurology 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 (infusion-heavy versus EMG-heavy versus general neurology), 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 on the chemodenervation, infusion, and EMG lines, 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 infusion-flowsheet-to-J-code traceability that the neurology code mix actually requires. We do not run our billing service on third-party EHRs, because 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.
How long is implementation, and what does neurology training actually look like?
You go live on the EMR in under a week. Your RCM transition runs 4 to 8 weeks alongside payer and infusion-site enrollment. We handle your data migration in 2 to 4 business days; your staff does not have to clean charts. Your providers train in pieces around real clinic, not in a multi-day block that forces you to cancel patients. The core clinical training runs 2 to 4 focused hours per provider, and you stack targeted follow-ups for advanced modules: infusion-suite workflow, PREEMPT documentation, EEG and EMG integration, ARIA monitoring, telehealth, mobile, and the AI documentation tools, on whatever cadence works for your schedule. Every role in your practice gets training during onboarding: front desk, MAs, infusion nurses, EEG techs, providers, billers, administrators, super-users, all unlimited. The same online training is there for your new hires later. The self-help library of workflow documents and videos is open 24/7. We recommend keeping your previous vendor running alongside us for 30 to 90 days so you can keep operating normally while the new platform proves itself, and the account manager who runs your migration is the same account manager who picks up the phone when you call in month six.
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