PAIN MEDICINE
An EMR Built Around the Image-Guided Procedure and the Controlled-Substance Record
Your fluoroscopy room is booked end to end. Your chronic-opioid panel is on a PDMP check, a UDS reconciliation, and an MME tracker your last EMR pretended did not exist. On GlaceEMR your lumbar transforaminal note finishes by level and laterality, your EPCS goes out with the PDMP review documented inside the prescribing moment, and your claim drops with the modifier mix interventional pain actually pays on. 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 PAIN PHYSICIANS
The Problems Pain Practices Tell Us About
Pain medicine carries two heavy burdens at the same time. A procedure suite of image-guided injections and neuromodulation runs in one room. A controlled-substance practice governed by PDMP checks, urine drug screens, opioid agreements, and intense regulatory scrutiny runs in the next. The EMR most pain practices run was built for somebody else, and the burden of holding the work together with paper, spreadsheets, and after-hours staff time falls on you. The list below is what we hear in the first thirty minutes of every discovery call.
Your injection note is a denial waiting to happen. A lumbar transforaminal epidural pays when the level, the laterality, the guidance method, the contrast, the medication, the concentration, and the time-out are all documented as discrete data. Your horizontal EMR captured most of that in a free-text paragraph that a payer reviewer cannot validate, and a $1,200 procedure gets downcoded to a $250 office visit or denied outright. Across a busy fluoroscopy suite that is six figures of recoverable revenue every quarter, sitting in a denial queue your billing team never opened.
Controlled-substance prescribing eats your day. EPCS with identity proofing, MFA on every script, a state PDMP query before every controlled prescription, a UDS interpretation against the expected result, an opioid treatment agreement on file, an MME calculation that has to be defensible, a naloxone co-prescription decision at the right threshold. On most platforms those are seven different browser tabs and three different vendor logins, and the workflow falls apart in the middle of clinic. Your medical assistant ends up copying PDMP screenshots into a chart note, and the audit trail you would actually defend at a DEA inspection lives in five places at once.
Your pain assessments live in free text. The PEG score, the VAS trend, the Opioid Risk Tool, the PHQ-9, the functional rating, the UDS expected-versus-observed reconciliation, all of it ends up in a paragraph somebody pasted into the HPI. When the state board, the payer, or the malpractice carrier comes asking for the longitudinal record, your staff spends two weeks pulling it together. The data is there. It just lives in a format no system can query, no trend graph can draw, and no audit can be defended with quickly.
Procedure billing has tight, unforgiving rules. The 50 bilateral modifier, RT and LT laterality, the multiple-level rules on 64483 plus 64484, the 64493 plus 64494 plus 64495 cap, the NCCI bundling between the diagnostic medial-branch block and the RFA, the fluoroscopic-guidance bundling, the -25 on the E/M when a same-day procedure is on the claim, the global period on the SCS trial. The wrong combination gets your claim cut, and most generalist billing services miss these on the first pass. The denials trickle in months later as payment reductions you have to chase one EOB at a time.
Prior auth is half your front-desk’s day. The repeat ESI series, the diagnostic medial-branch block before the RFA, the spinal cord stimulator trial, the intrathecal pump refill, the high-tier opioid, the buprenorphine conversion, the long-acting injectable, the advanced imaging that documents your pathology. Every one of those needs a packet, a fax, a callback, and a portal upload. Your schedule slips because the patient never got authorized, the procedure room sits empty, and a $1,500 slot evaporates because nobody could get the determination out of the payer in time.
Workers comp and personal injury bleed cash. A workers-comp claim runs on a different fee schedule, a different prior-auth pathway, a different appeals process, and a different documentation standard than your commercial payer. A personal-injury case settles on a letter of protection that your billing system has no native bucket for. Most platforms treat both as commercial claims, the denials pile up, and your AR ages past the point where you can still collect. A real pain practice has fifteen to twenty percent of its volume in this mix, and the dollars are recoverable when a billing team that knows the rules is the one working the queue.
Your software bill grows for things that should be one product. A separate vendor for the PDMP portal, a separate vendor for EPCS, a separate vendor for telehealth, a separate vendor for the patient portal, a separate vendor for fluoroscopy image storage, a separate vendor for the kiosk, a separate vendor for HR and PTO. Each one renews on a different month, each one lifts its price every year, and each one integrates with the others only when one of them feels like it. Your total spend stays invisible until your office manager prints out the SaaS list and the number is larger than payroll for two FTEs.
GLACEEMR FOR PAIN MEDICINE
A Chart Built Around the Procedure and the Controlled-Substance Record
GlaceEMR is ONC-certified and has been deployed in private interventional pain practices for years, with 30+ years of company history behind it. Every feature below is in the platform today, not a roadmap promise. The pain-medicine configuration is wired in before training starts, so the chart your team opens on day one already knows the procedures, the controlled-substance workflow, the codes, and the documentation a defensible pain record demands.
Procedure documentation by level, laterality, and guidance
Procedure note templates for epidural steroid injection, facet and medial-branch block, radiofrequency ablation, sacroiliac-joint injection, trigger-point injection, and peripheral nerve blocks capture level, laterality, guidance method, contrast volume, medication, concentration, needle gauge, and time-out as discrete fields. The note your fluoroscopy MA finishes in the procedure room is the note your biller drops with the right modifier mix, and the audit trail it leaves is the one a payer reviewer cannot send back.
EPCS with PDMP review inside the prescribing moment
Surescripts EPCS with Id.me identity proofing and MFA on every controlled script. The state PDMP query runs in the prescribing window, not in a separate browser tab, so the legally required check happens inside the prescribing moment and the documentation lands in the controlled-substance audit trail attached to the script, the patient agreement, and the latest UDS. MME thresholds, naloxone co-prescribe prompts, and drug-interaction checks fire at the point of order.
Structured UDS reconciliation and MME flowsheet
Urine drug screen results flow back through the lab interface into a structured field, and the Lab Interpreter reconciles the observed result against the expected result based on the prescribed regimen. Unexpected findings flag the chart for clinician review. The MME flowsheet trends total daily morphine-milligram equivalents across visits, and the threshold cross is flagged in real time, so the conversation with the patient happens with the data on the screen instead of as a guess.
Opioid stewardship and taper workflows
Structured opioid-management workflows ship with the platform. The MME calculator runs against the active regimen, the Opioid Risk Tool scores the patient at intake, taper protocols sit in the order-set library, and buprenorphine-conversion support is built into the prescribing window. Naloxone co-prescribe prompts fire at the configured MME threshold, and the patient-facing naloxone education handout generates from the chart in English or Spanish for the patient walking out of the visit.
SCS trial and intrathecal pump management
Spinal-cord-stimulator trial documentation captures lead placement, trial duration, response measurement against pain and function scores, and the implant decision rationale that the payer asks for before approving the permanent device. Intrathecal pump management tracks reservoir refill schedule, dose, concentration, infusion rate, and conversion calculations, with reminder logic for the next refill so an empty pump never catches the practice off guard.
60+ lab interfaces with toxicology routing
Quest, Labcorp, BioReference, and more than 50 hospital and toxicology reference labs are connected today. UDS panels, confirmatory testing, and genetic testing for metabolizer status all flow back into the chart with discrete result fields, trending across visits, and the result attached to the ordering problem. The SmartInbox consolidates results, refills, messages, and tasks into one prioritized worklist, so the toxicology that came back unexpected is the first thing your clinician sees the next morning.
Care Gap and population registry for the panel
Care Gap and Population Registry views surface the patients overdue for a PDMP check, due for a UDS, due for opioid-agreement renewal, and the injection patients due for re-evaluation. Recall logic drives the outreach to bring them in. Controlled-substance monitoring and procedure follow-up turn from an after-the-fact compliance scramble into a managed program with a worklist your front desk can clear.
Integrated PACS and DICOM viewer
Fluoroscopic images and the MRI that documents the disc herniation, the facet arthropathy, or the SI joint inflammation are viewable in the chart, alongside the radiologist report and the procedure note. No separate viewer to launch, no add-on license fee on the renewal. Your pre-procedure planning, your intra-procedure documentation, and your post-procedure follow-up all reference the same images on the same screen.
Hospital ADT and surgical-coordination interfaces
15+ hospital interfaces deliver ADT notifications, discharge summaries, and inpatient results into the chart, so the patient who was admitted after an emergency-department visit for an opioid-related event is on your radar before the post-discharge call. C-CDA and FHIR API exchange supports the neurosurgical, behavioral, and primary-care coordination chronic pain generates, and the ReferralTracker closes the loop on what came back from the referral.
Clinical decision support, configurable
MME-threshold alerts, PDMP-due reminders, UDS-due reminders, naloxone co-prescribe prompts, and drug-interaction checks with CDC citations sit in the workflow at the right moment. You decide which alerts fire and which stay quiet by role, by provider, and by patient context, so the system supports your clinical judgment instead of fighting it with thirty pop-ups before lunch. The audit-trail entry on every alert documents which prompt fired and what the clinician decided.
Native telehealth for follow-ups and taper visits
HD video is built into the EMR. No third-party Zoom link, no separate seat license, no surprise renewal. Post-injection check-ins, taper visits, and the patient who is doing well on a stable regimen and cannot drive to the office run in the same chart as the in-person work, with the same templates and the same coding support. GlaceScribe captures the note either way, the controlled-substance workflow keeps its rails, and the visit stays defensible.
Scheduler that protects the fluoroscopy slot
Multi-provider, multi-location, drag-and-drop, waitlist, recall campaigns, and template-driven appointment types. The No-Show Predictor flags the high-risk patient before a $1,500 procedure room sits empty, eligibility runs before the visit, and the monitoring cadence of PDMP, UDS, and agreement renewal is scheduled alongside the clinical calendar. GlaceIQ-powered schedule maximization fills openings with the right patient based on recall priority and waitlist match.
200+ built-in reports and a real report builder
Clinical, quality, procedure-volume, RCM, payer performance, and operational reports, all running off the same database your clinicians and billers already produce. Need a custom report by tomorrow for a payer audit, a state board response, or a partner meeting? Use the report builder UI yourself. No support tickets, no analyst, no consulting fee, no week of waiting for somebody else to write SQL against your data.
Role-based access and full controlled-substance audit
Each role (medical assistant, fluoroscopy tech, nurse, provider, biller, manager) sees what they need and nothing they do not. Every action is logged, with the controlled-substance audit detail the field’s regulatory scrutiny demands. HIPAA-compliant infrastructure, single-tenant database per practice so your data is not pooled with another practice’s, encryption in transit and LUKS full-disk encryption at rest, US-based hosting in Tier-III data centers in NYC and SFO.
CareQuality, Direct Secure Messaging, and FHIR
CareQuality, Direct Secure Messaging, FHIR R4 APIs, USCDI v3 alignment, and HIE participation for record exchange on shared patients across hospital systems, neurosurgery groups, behavioral-health practices, and primary-care offices. The referral to spine surgery for the patient who failed conservative management closes a loop instead of going dark, and the C-CDA summary lands in the receiving system the way the receiving clinician can actually use it.
MODULES INCLUDED WITH GLACEEMR
Things Other EMRs 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 interventional pain practice depends on.
Native iOS and Android apps
Phone and tablet apps for providers and staff. Sign procedure notes, review UDS results, message patients, see the schedule, take a call from the hospital after an opioid-related ED visit, all from wherever you are. Native build, not a mobile-friendly browser view, so the experience holds up at the bedside, in the fluoroscopy suite, and on the drive home.
CCM, PCM, BHI, and TCM for the chronic-pain panel
Chronic Care Management, Principal Care Management, Behavioral Health Integration, and Transitional Care Management are built into the chart, not a separate product the practice has to integrate. Time accrues against the care plan as your staff documents, the eligible minutes roll up monthly, and the recurring revenue lines that fit a chronic-pain population stop slipping past your billing team.
Self-check-in kiosk with opioid-risk intake
Run check-in on an iPad, an Android tablet, or the patient’s own phone. Demographics, consents, copay, PEG and pain-diagram intake, opioid-risk questionnaire, and insurance updates done before the rooming MA gets there. Bilingual English and Spanish so the Spanish-speaking chronic-pain patient does not need an interpreter to update an address or report a pain score.
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 post-injection follow-up, your pre-procedure MRI review, and your taper telehealth visit all run on one platform, with one note, in one chart your billing team can code.
GlaceOffice administration suite
HR, timesheets, PTO, inventory for injectables and procedural supplies, 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.
Multi-location, multi-provider, role-based
Grow from solo to 20 providers across multiple locations on one platform without renegotiating the contract or rebuilding the fluoroscopy-suite configuration. Role-based access controls and audit trails throughout. No per-location upcharge. Add a satellite procedure site next quarter and the chart works the same way Monday morning.
GLACERCM FOR PAIN MEDICINE
A Billing Service That Knows Interventional Pain Modifiers
GlaceRCM charges a percentage of collections with no base fees, no implementation charges, and no monthly minimums. The service is built for the interventional pain code mix, the controlled-substance documentation requirements, the workers-comp and personal-injury lines that move through a real pain practice, 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 chasing a denial on a $1,200 injection.
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 the workers-comp and PI receivables at 90 days.
$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 interventional pain modifiers
Payer-specific and service-specific rules check every claim before submission. The mix interventional pain bills (62323 lumbar ESI, 64483 plus 64484 multi-level transforaminal, 64493 through 64495 facet, 64635 plus 64636 RFA, 20552 trigger point, 27096 SI joint, 63650 SCS) is the bread and butter of our scrubber. Bilateral, RT, LT, multiple-level, and -25 modifier logic applies before submission, and NCCI bundling between the diagnostic block and the RFA is caught the day the claim is built.
Workers comp and personal injury fluency
Pain practices carry a meaningful book of workers-comp and personal-injury volume, and the rules are not commercial rules. Workers-comp runs on a state-by-state fee schedule, a different prior-auth pathway, and a different appeals process. PI runs on a letter of protection that has no native bucket in most billing systems. We carry separate worklists, separate aging buckets, separate appeals templates, and an in-house team that knows the adjuster relationships your aging report depends on.
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 of the SCS trial or the repeat RFA is in dispute. 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. The Undercoding Detector protects the documented complexity of the procedure suite before the claim is submitted.
A named billing specialist for your panel
You get a dedicated account manager who knows interventional pain payer mix in your state, the codes you bill, the workers-comp jurisdictions you carry, 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.
Prior auth assembled from the chart
Repeat ESI series, the diagnostic medial-branch block before the RFA, the spinal cord stimulator trial, the intrathecal pump refill, the high-tier opioid, the advanced imaging that documents pathology. Our billing team assembles the auth packet from the chart, validates, and submits. The 45-minute manual prior-auth project shrinks to a five-minute review, your procedure room stays booked, and the determination arrives before the patient gets to the waiting room.
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 on the procedure suite and the controlled-substance practice, 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 checking in the 9 AM ESI patient is not on a billing call with a chronic-pain patient about last month’s copay.
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 providers, new locations, workers-comp enrollment, and Medicare-Medicaid revalidations are handled by the same team that runs your billing. Pain practices add associates and satellite procedure sites on a regular cadence, and the credentialing workflow keeps the new provider billing on day one instead of waiting six months for an enrollment letter.
GLACESCRIBE FOR PAIN MEDICINE
An Ambient Scribe That Captures the Pain Visit Cleanly
GlaceScribe listens in the room and generates a complete pain consult or follow-up note structured the way interventional pain physicians write: pain history with character, location, radiation, and aggravating-relieving factors; functional and medication review; structured procedure plan or controlled-substance plan; orders, refills with PDMP review, 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 pain-medicine fellow trying to write the way you write. By month three it sounds like you, including the way you talk through a transforaminal versus an interlaminar approach, the cadence of how you set expectations on a diagnostic medial-branch block, and your phrasing for a difficult opioid taper conversation. ICD-10 and CPT suggestions surface alongside the draft note, with the procedure-coding suggestions including level, laterality, and guidance method. 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 fellow 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 translating for the patient, or the workers-comp case manager who joined the visit by request are 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 chronic-pain 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 or the next fluoroscopy slot, and the note that gets billed is the note that reflects the work you actually did. The procedure note finishes in the procedure room. The opioid follow-up finishes in the exam room. The taper visit finishes in the telehealth window.
You will feel it most in the visits where the typing was always the bottleneck. The new chronic-pain consult who shows up with twenty years of records, four prior interventions, and three failed medications to unpack. The post-RFA follow-up where the patient wants to talk through what worked and what did not. The difficult taper conversation where you cannot type fast enough to catch the patient’s actual words and the cognitive load of holding the conversation, the math on the MME, and the documentation all at once is what makes you tired by Thursday. The note that used to eat twenty-five minutes after clinic now needs three minutes of review while the MA is rooming your next patient, and the HPI captures what your patient actually said, not the abbreviated version you would have typed from memory at the end of the day.
By week six, most pain physicians tell us they are getting 90 minutes to two hours of their evening back, every weeknight. The practice’s chart-completion report says the same thing, in fewer words. Procedure notes that used to require a stop in the office on Saturday morning to clean up are finished by the time the patient is walking out of the recovery bay, and the next time the patient comes in the chart they open already holds the record of the last visit instead of a half-finished draft that nobody could sign.
POWERED BY GLACEIQ
30+ AI Features, Tuned to the Pain Physician’s Day
Every AI capability is 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 in a procedure-and-controlled-substance practice.
Pre-charting from pain history and last response
Before the visit, GlaceIQ assembles a pre-chart summarizing the active pain diagnoses, prior interventional history with level and laterality, current medications with MME, last UDS result, last PDMP review date, post-injection response from the last visit, and any open referrals. Your MA reviews it before you walk in, so the first thirty seconds of the encounter are spent on the patient, not on chart review for a complex chronic-pain panel.
Procedure coding suggestions by level and laterality
As you sign the procedure note, GlaceIQ suggests the right CPT, the multi-level add-on codes, the bilateral or RT/LT modifier, the fluoroscopic-guidance code where it applies, and the -25 modifier on the same-day E/M. You review and select. The injection your fluoroscopy MA documented as a two-level transforaminal lands on the claim as 64483 plus 64484 with the correct laterality, not as a single-code claim that downcodes the work you actually did.
Care-gap surveillance for controlled substance
Patients overdue for a PDMP check, due for a UDS, due for opioid-agreement renewal, due for naloxone re-prescribing, and injection patients due for re-evaluation. 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 compliance posture that protects the practice at audit accrues as a byproduct of good care.
Refill safety flags with MME context
For controlled-substance refill requests, GlaceIQ flags the chart with the current MME, time since last office visit, time since last UDS, time since last PDMP query, opioid-agreement status, and any pending lab results. You decide whether the refill goes out, whether to require an office visit first, or whether the threshold review prompts a taper conversation. The safety check happens before the prescription is sent, not after a complication.
Denial prediction before submission
GlaceBillSmart scores each claim for denial probability based on payer history and procedure-modifier combinations, so the billing team fixes problems before submission instead of working denials after the EOB arrives. The two-level transforaminal that would have been denied for missing laterality gets the laterality the procedure note already documented, while you can still adjust the note if the field needs more detail.
Per-code performance at charge entry
During charge entry, GlaceIQ shows expected reimbursement, denial probability, and payment timeline per code by payer. You see the dollar implications of a coding decision while you can still adjust documentation. Your 64493 plus 64494 plus 64495 with the supporting bilateral documentation goes out at the right level, and the Undercoding Detector protects the procedural complexity your fluoroscopy MA actually documented.
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. The Spanish-speaking patient on long-term opioids walks out with naloxone-safety material she can actually read, instead of a generic English handout that ends up at the bottom of a purse. Post-injection care, chronic-pain self-management, and taper-support handouts all generate from the chart.
AI-powered prior authorization
For repeat ESI series, the diagnostic medial-branch block before the RFA, the spinal cord stimulator trial, the intrathecal pump refill, the high-tier opioid, and the advanced imaging that documents pathology, GlaceIQ assembles the documentation packet from the chart. The billing team finishes, validates, and submits. The 45-minute manual prior-auth project shrinks to a five-minute review, and the patient gets the intervention their condition actually needs in the week the schedule called for.
AI schedule maximization for the fluoroscopy suite
When the schedule has an opening, GlaceIQ identifies recall, waitlist, and follow-up candidates and books them through GlacePhoneSmart or portal outreach. Your fluoroscopy room stops leaking $1,500 slots when a no-show happens, and the patient overdue for a repeat ESI gets the call before the schedule sits empty. Eligibility runs before the visit, so the slot you fill is the slot the payer is going to cover.
PATIENT ENGAGEMENT FOR PAIN MEDICINE
Reach Your Chronic-Pain Panel Where They Already Are
Your patient engagement stack runs on portal, mobile app, kiosk, SMS, email, and phone, with English and Spanish on every patient-facing surface. The 78-year-old on long-term opioids who only opens email and the 38-year-old with workers-comp lumbar radiculopathy who only opens text both end up on the schedule, both complete their PEG and pain-diagram intake before they walk in, and both make their balance payment without anybody at the front desk lifting a finger.
Practice-branded portal and mobile app
Labs, secure messaging, scheduling, bill pay, intake forms, opioid-agreement signing, and telemedicine, 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, because the patient trusts the practice they already know.
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 the repeat-ESI patients and the UDS-due panel, fills procedure cancellations, and surfaces voicemail summaries to your staff. The front desk stops drowning in calls during a heavy injection week. Patients reach the practice at 11 PM and still get an appointment for next Tuesday.
SMS and email recall for monitoring
UDS-due recalls, opioid-agreement-renewal reminders, post-injection check-ins, repeat-ESI follow-up, naloxone-refill nudges, and chronic-pain follow-up cadence, 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.
Bilingual kiosk and pain-history intake
Self-check-in on iPad, Android tablet, or the patient’s own phone, in English or Spanish. AI-powered electronic pain-history intake, PEG and pain-diagram capture, and opioid-risk questionnaire via phone, SMS, or portal before the visit, so the patient walks into the room with structured data already in the chart and the rooming MA spends her time on vitals and clinical history instead of typing demographics off a clipboard.
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 interventional pain practice:
- 62321, 62323: cervical/thoracic and lumbar interlaminar epidural steroid injection
- 64483, 64484: lumbar transforaminal ESI single and additional level
- 64493, 64494, 64495: lumbar facet joint injection by level
- 64635, 64636: lumbar radiofrequency ablation single and additional level
- 27096: sacroiliac joint injection with image guidance
- 20552, 20553: trigger point injection, one to two and three or more muscles
- 63650, 63685, 63688: SCS trial lead, generator implant, and revision/removal
- 99213, 99214, 99215: office E&M for pain consult and follow-up
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR
Most pain 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 procedure-and-controlled-substance 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, problem lists, procedure history with level and laterality, opioid and MME history, prior UDS records, active 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 running in parallel, including workers-comp enrollment in your state, 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 a procedure day or block a fluoroscopy room. 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, your prior procedure record by level and laterality, your opioid agreements, and the recent results from your previous system. The pain-medicine configuration is already wired in: your injection note templates with anatomical diagrams, your order sets for ESI and RFA and SI joint, your smart phrases for the consult and the follow-up, your code favorites, your MME calculator, your UDS-reconciliation prompts. You see a chart that looks like a real interventional pain 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 a procedure note. You are using GlaceScribe on most visits and your HPIs no longer slow you down. Your first month of CCM and PCM time has rolled into a claim, and your first month of submissions is already on the dashboard with the procedure-modifier mix the scrubber tuned to interventional pain. You and your account manager have done the first formal walk-through of the denial queue together. The recall workflows for UDS-due, agreement-due, and repeat-ESI follow-up are live, and your front desk is starting to fill tomorrow’s schedule from the recall list rather than from whoever calls in.
Day 90. Your first quarter’s RCM dashboard shows the new shape: cleaner procedure claims, faster posting, fewer denials parked in the 60-90 bucket on workers-comp and PI receivables. CCM and PCM are now real revenue lines on your books that did not exist on the old system. Your controlled-substance audit posture is dramatically tighter, and the report you would hand a state board reviewer is one click instead of two weeks of preparation. GlacePhoneSmart has visibly cut your front-desk call volume, and your recall campaigns have closed monitoring 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
Pain Medicine Practice FAQ
The questions below come up in almost every discovery call with an interventional pain practice. Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Does GlaceEMR handle EPCS, PDMP, and the controlled-substance audit trail natively?
Yes, all three are in the prescribing workflow, not in a separate vendor product the practice has to bolt on. Surescripts EPCS with Id.me identity proofing and MFA runs on every controlled script. The state PDMP query fires inside the prescribing window, with the review documented inline into the controlled-substance audit trail attached to the script, the patient agreement, and the latest UDS. MME-threshold alerts, naloxone co-prescribe prompts, and drug-interaction checks fire at the point of order. The full audit detail a DEA inspection, a state board review, or a payer audit asks for is one click instead of two weeks of preparation, because the data was structured at the moment it was captured rather than reconstructed later from free text.
How does GlaceRCM handle interventional pain modifiers and bundling rules?
The claim scrubber is built around the interventional pain code mix. Bilateral, RT and LT, multiple-level rules on 64483 and 64484, the facet-level cap on 64493 through 64495, the NCCI bundling between the diagnostic medial-branch block and the RFA, the fluoroscopic-guidance bundling, the -25 modifier on the same-day E/M, the global period on the SCS trial. Every claim is checked before it goes out. Workers-comp and personal-injury claims run in separate worklists with separate aging buckets and separate appeals templates, because the rules are not commercial rules and the relationships are not commercial relationships. The named billing specialist on your account knows your top denials by payer in your state, and the queue gets worked to resolution rather than written off at 90 days.
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.
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 including workers-comp and personal-injury exposure, 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 procedure documentation, denial root-cause analysis that closes the loop back to the procedure note. We do not run our billing service on third-party EHRs, because we have spent thirty years learning that hybrid setups produce hybrid results in a procedure-heavy specialty. 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 training actually look like?
You go live on the EMR in under a week. Your RCM transition runs 4 to 8 weeks alongside payer enrollment, including workers-comp enrollment in your state. We handle your data migration in 2 to 4 business days; your staff does not have to clean charts or rebuild a controlled-substance history. Your providers train in pieces around real clinic, not in a multi-day block that forces you to cancel a procedure day. The core clinical training runs 2 to 4 focused hours per provider, and you stack targeted follow-ups for advanced modules, specialty templates, 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, fluoroscopy techs, nurses, 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 for the moments somebody just needs to remember how something works. 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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If you carry adjacent panels, see how GlaceEMR runs orthopedics, neurology, physical medicine and rehabilitation, and rheumatology.
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