PHYSICAL MEDICINE AND REHABILITATION
A PM&R EHR Built Around the EMG Lab and the DME Prescription
GlaceEMR and GlaceRCM built for the EMG record, the DME prescription, and the injection clinic your day runs on, billed at a percentage of collections with no base fees, backed by 95%+ first-pass claim adjudication and 99%+ collection of payer-allowed amounts*.
*Of payer-allowed amounts.
WHAT WE HEAR FROM PHYSIATRISTS
The Chart Was Built for a Single Complaint
Physiatry is organized around function, and most EHRs were built for one disease code and one visit. Four pains come up in almost every PM&R discovery call, and each one quietly costs you time, revenue, or both.
Imaging lives outside the chart
The spine MRI and the head CT arrive on a disc or behind a portal login, so the images never sit beside the note you are writing or the EMG you are interpreting.
Injection-clinic claims come back denied
64615, 95874 guidance, and J0585 units and wastage all have to line up on the claim. When one comes back denied, nobody in the office has the hours to chase it, and the dollars age out.
EMG and DME auths eat your week
The EMG report sits as a scanned PDF disconnected from the claim, and every wheelchair, AFO, and baclofen pump needs a medical-necessity letter rebuilt from scratch.
Follow-ups slip through the cracks
When the recall lives on a sticky note, the patient due back for a re-injection or a DME renewal misses the window, returns to baseline spasticity, and the panel quietly thins.
GLACEEMR FOR PM&R
Electrodiagnostics, DME, and Prescribing in One Chart
GlaceEMR is ONC-certified and has run in PM&R practices for years, with 25+ years of company history behind it. The physiatry configuration is wired in before training starts, so the chart your team opens on day one already holds the electrodiagnostic record, the DME prescription workflow, and your prescribing favorites. Every capability below ships today, not as a roadmap promise.
Electrodiagnostic record in the chart
EMG and NCS are stored as structured records, not scanned PDFs. Needle findings, nerve-conduction values, and the interpretation live beside the symptoms that triggered the study, with reference values built in.
DME and prosthetic prescription workflow
Wheelchair, AFO, KAFO, prosthetic socket, and baclofen-pump prescriptions carry structured necessity that matches the payer rules. The letter generates from the chart, the trial-and-failure history populates from prior visits, and the equipment clears without four rounds of fax volley.
eRx with EPCS and PM&R favorites
Surescripts e-prescribing with EPCS and Id.me identity proofing, plus interaction alerts at the point of order. Favorites carry the spasticity agents and neuropathic-pain regimens with default dosing. In supported states, one click pulls the PDMP report into GlaceEMR, and the check is saved in the chart with the date and time.
Recall lists next to the schedule
Recall lists hold the patients you want back, at the interval you choose, and the scheduler sits next to the chart. GlacePhoneSmart sends the reminders and books the follow-up, so the patient due for a re-injection visit or a DME renewal lands on the schedule instead of on a sticky note.
Included with GlaceEMR vs usually an add-on
When you price out another EMR for your physiatry group, 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 and its own price increase every twelve months. They ship with GlaceEMR.
| Capability | Most EMRs | GlaceEMR |
|---|---|---|
| PACS and DICOM viewer for spine MRI and head CT | Add-on license | Included |
| Hospital ADT and inpatient-rehab discharge summaries | Interface fee | Included (15+ hospitals) |
| Self-check-in kiosk with functional intake | Third-party vendor | Included |
| GlaceOffice administration suite (HR, PTO, inventory, credentials) | Separate subscription | Included, free for clients |
| Native iOS and Android apps for providers and staff | Mobile-web only | Included |
A solo physiatrist can grow to a multi-provider group across an outpatient clinic, an EMG lab, and an inpatient consult service on the same platform, with no per-location upcharge and no re-implementation when you add a satellite next quarter.
FROM STUDY TO PAID
One Path From the EMG Lab to Paid
The patient books into a scheduler that sits next to the chart, the EMG and NCS findings land in the electrodiagnostic record, the 95860-series code suggestions surface at signing for your review, our billing team submits the claim, and your named billing specialist works any denial to resolution. The same chart and the same team carry the dollar from the EMG lab to the deposit, so nothing falls through a handoff between four different vendors.
GLACERCM FOR PM&R
A Billing Service That Works Your EMG, Injection, and DME Claims
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 scrubber sees the full chart, but if you are staying on your EMR our billing team works your claims there. Our billing team bills your EMG, chemodenervation, and DME codes, follows up on every claim, and runs the DME prior auths, and the numbers below reflect that focus.
95%+
First-pass claim adjudication. Most claims 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 actually arrive, because we work the queue to resolution.
$0
Implementation fee and setup charge. We get paid when you get paid, so our interests and yours line up from day one.
*Of payer-allowed amounts.
Every claim followed to payment
Our billing team submits your complex E/M, 95860-series EMG, chemodenervation, guidance, toxin, and DME claims, follows up on every one that stalls, and works the denials that come back through appeal. Claims do not sit unworked while your front desk runs the injection clinic.
DME and prior auth end to end
Wheelchairs, orthotics, prosthetics, AFOs, and baclofen refills carry payer-specific necessity language and the trial-and-failure history. The auth runs out of our queue, the appeal is in our hands when it comes back short, and the patient gets the equipment.
A named billing specialist
A dedicated account manager who knows your state’s payer mix, the codes you bill, and the regional Medicare contractor’s quirks on EMG and chemodenervation. 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, prior auth, daily patient statements, and a US-based billing call center are part of the service, not separate line items. Your patients call our team about a balance, not your front desk, so the receptionist checking in your 9 AM injection-clinic patient is not stuck on a billing call. Denials are worked to resolution through appeals and peer-to-peer, with ALJ-level escalation on the DME claims that warrant it, and a write-off happens only when you sign off.
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, every time. The AI is built on HIPAA-compliant infrastructure from Amazon, Google, Anthropic, Deepgram, ElevenLabs, and other enterprise AI providers, with multi-vendor architecture that preserves operational redundancy and keeps the platform improving over time.
GlaceScribe
Ambient consult and follow-up notes structured the way physiatry writes, with functional history, the rehab plan by problem, and the treatment plan you describe out loud. Up to four speakers for the caregiver and aide in the room. The Saturday catch-up on unsigned consult notes becomes Friday at 4:45.
GlaceIQ
30+ AI features tuned to your day: pre-charting from the prior visit, CPT and modifier suggestions at signing, care-gap prompts, and per-code reimbursement at charge entry. You review and select each one.
GlacePhoneSmart
An AI phone agent answers as your practice, books into real scheduler slots, sends reminders and runs recall calls from your recall lists, fills cancellations from the waitlist, and surfaces voicemail summaries. Caregivers reach the practice at 11 PM and still get next Tuesday’s spasticity clinic.
A practice-branded portal, mobile app, kiosk, SMS, and email round out the stack, with caregiver proxy access throughout. The post-stroke patient who depends on a daughter to schedule and the amputee who only opens email both end up on the schedule, both finish functional intake before they arrive, and both pay their balance without anyone at the front desk lifting a finger. Replies route back into the chart as structured tasks, so reminders and post-discharge check-ins get worked instead of lost in an inbox.
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR
Most PM&R practices we onboard are leaving a legacy platform that never fit the EMG, injection, and DME load. 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, EMG reports, prior procedure notes, and current meds, with your templates, order sets, and code favorites already wired in. EMR go-live happens in under one week. The first few visits run slower because the workflow is new; by the end of the day, your hands start to remember where everything lives.
DAY 30
Charting faster, claims flowing
You are charting faster than on the old system because the templates match how you document, and GlaceScribe carries most of your functional histories. Your first month of EMG and injection-clinic claims has gone out, and you have walked the denial queue with your account manager. Your recall lists are live and filling tomorrow’s injection clinic.
DAY 90
The switch starts paying for itself
Your first quarter’s dashboard shows fewer stalled chemodenervation and EMG claims, faster posting, and fewer DME denials parked in the 60-to-90 bucket. Patients due back are on the schedule because the recall list gets worked, and GlacePhoneSmart has visibly cut front-desk call volume. The conversation turns from migration triage to using the platform harder next quarter.
Data migration covers historical records, documents, images, EMG reports, prior procedure notes, functional histories, problem lists, current medications, allergies, DME records, and outstanding orders, handled by Glenwood from your prior vendor’s data export in 2 to 5 business days so your staff does not have to clean charts. The RCM transition runs 4 to 8 weeks with payer enrollment in parallel, and we recommend a 30-to-90-day overlap with your previous vendor so the practice keeps operating normally. Provider training is delivered in pieces around your real schedule, not a multi-day disruption that forces you to cancel a week of injection clinic, and every role gets unlimited online training during onboarding with continued access for new hires later. Glenwood has been independent and privately held since 1998: 25+ years in market, no outside investors, no roadmap roulette. Support runs 7:00 AM to 8:00 PM Eastern on weekdays, with 24×7 on-call coverage for urgent issues, so 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. Our billing team bills them every day, follows up on the claims that stall, and appeals the denials, so the reimbursement you earned is the reimbursement you collect. The list below is the short version of the PM&R code mix we bill:
- 99214, 99215: complex office E/M, established patient
- 95860, 95861, 95885, 95886, 95910, 95911: EMG and NCS studies
- 64615, 64616, 64617, 64642 through 64647: chemodenervation by region
- 95873, 95874: EMG or ultrasound guidance for chemodenervation
- J0585: onabotulinumtoxinA units, with JW modifier for wastage
- 99221 through 99233, 99238, 99239: inpatient rehab consult and discharge
- L-codes: orthotic and prosthetic prescription (AFO, KAFO, sockets)
QUESTIONS WE HEAR EVERY WEEK
PM&R Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Does GlaceRCM bill chemodenervation and toxin claims?
Yes. Our billing team bills the 64615 through 64647 chemodenervation codes, the 95873 and 95874 guidance codes, and J0585 with the JW modifier as your procedure note documents them. The units administered, the units wasted, the product, and the lot come from what you document; GlaceScribe can draft that note from what you say in the room, and you review and sign it. From there our team submits the claim, follows up on every one that stalls, and works denials through appeal, and your named billing specialist knows the regional Medicare contractor’s habits on chemodenervation. Prior auth for the toxin runs out of our queue, so the patient is not waiting on a fax.
How does GlaceEMR handle EMG and NCS studies inside the chart?
EMG and NCS are stored as structured electrodiagnostic records, not as scanned PDFs in a document folder. The needle examination findings, the nerve-conduction velocities, the late responses, and the interpretation paragraph all live in the patient’s record with reference values built in. The 95860-series CPT selection and the laterality modifiers surface as suggestions during signing for your review. The carpal-tunnel workup from last March is on the same screen as the radiculopathy you are doing today, so the patient who comes back with a new question does not wait while your front desk hunts down the prior report.
How does GlaceRCM handle DME and prosthetic prior auths?
Wheelchairs, AFOs, KAFOs, prosthetic sockets, gait trainers, and intrathecal baclofen pump refills run through our prior-auth queue end to end. The medical-necessity letter generates from the chart with the trial-and-failure history of prior equipment, the spasticity assessment, and the payer-specific language each contractor requires. The auth submits from our team, the appeal is in our hands when it comes back short, and ALJ-level escalation is available for the cases that warrant it. Your patient gets the equipment without your front desk learning a new payer portal every quarter, and the chart holds the auth status alongside the prescription.
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 injection clinic. Up to four simultaneous speakers are supported, so a caregiver, a family member, or an aide in the room is attributed cleanly, 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.
What does GlaceRCM pricing actually look like, and can we keep our EMR?
You pay a percentage of what we collect, with no base fees and no implementation charges. The exact percentage depends on your code mix, payer panel, and volume, and you will have it after a 20-minute discovery call. We would rather run the full bundle, where the billing quality depends on a tight integration with the chart, and 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, DME prior auth, statements, or the call center your patients use, because all of that is part of the service. What we charge tends to pay for itself out of the chemodenervation, EMG, and DME dollars you were quietly writing off before.
“Made our work easy. Increase in Revenue, good Customer support.”
Amita Oza, MD
Ohio
If you carry adjacent panels, see how GlaceEMR runs neurology, pain medicine, orthopedics, and PT/OT therapy.
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.