PHYSICAL MEDICINE AND REHABILITATION
Run Your PM&R Practice Around Function, Not the Chart
GlaceEMR and GlaceRCM built for the functional-outcome trend, the EMG record, and the chemodenervation map 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 the first thirty minutes of almost every PM&R discovery call, and each one quietly costs you time, revenue, or both.
Function lives in narrative
FIM, Ashworth, VAS, and PROMIS have nowhere structured to trend. The score lands in a paragraph, so medical necessity is prose the payer cannot see at a glance.
Chemodenervation is a coding minefield
64615, 95874 guidance, J0585 units and wastage, and a per-muscle map that has to match the dose. One miss and the claim is denied or recouped.
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.
Re-injection windows slip
No recall logic understands a twelve-week toxin cycle or a DME renewal, so the window passes, the patient returns to baseline spasticity, and the panel quietly thins.
GLACEEMR FOR PM&R
An EHR Built Around Functional Outcomes and the Spasticity Injection
GlaceEMR is ONC-certified and has run in PM&R practices for years, with 30+ 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 functional scales, the spasticity tools, and the electrodiagnostic record. Every capability below ships today, not as a roadmap promise.
Functional-outcome record that trends
FIM motor and cognitive, Modified Ashworth, VAS, PROMIS, six-minute walk, and gait speed are structured, auto-scored, and trended across visits. The progress arc is on one screen before the visit starts, so necessity for the next cycle is documented in the data.
Chemodenervation by muscle and unit
Toxin injections document with a per-muscle map, unit dose per site, product, lot, wasted units, and guidance method. The J0585 line assembles from the note, the previous map prepopulates the new cycle, and the consent generates from the chart.
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, PDMP, 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. PDMP sits inside the prescribing moment, not a separate tab.
Recall logic that knows re-treatment
Care-gap and registry views surface patients due for toxin re-injection, functional re-assessment, and DME renewal. The logic understands the twelve-week cycle and the calendar-year cycle, so the window becomes a scheduled task. GlaceIQ and GlacePhoneSmart book the recall after hours.
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) |
| Anatomical muscle and dermatome diagrams | Third-party tool | Included |
| Self-check-in kiosk with functional intake, English and Spanish | 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 contract to renegotiate when you add a satellite next quarter.
INJECTION DAY, END TO END
One Path From Map to Paid
You map the muscles, you inject, the J0585 units and wastage capture from the procedure note, the scrubber checks the chemodenervation and guidance codes against payer rules, and your named billing specialist works the queue to resolution. The same chart and the same team carry the dollar from the injection chair to the deposit, so nothing falls through a handoff between four different vendors.
GLACERCM FOR PM&R
A Billing Service That Knows Chemodenervation, EMG, and DME
GlaceRCM bills your claims in your EMR or ours, charged at a percentage of collections with no base fees and no monthly minimums. 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. The service is built for the J0585 unit math, the chemodenervation modifier logic, and the DME necessity cycle, 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, setup charge, and monthly minimum. We get paid when you get paid, so our interests and yours line up from day one.
*Of payer-allowed amounts.
Scrubbing tuned to chemodenervation and EMG
Payer-specific rules check complex E/M, the 95860-series EMG, 64615 and 64616 with 95873 or 95874 guidance, J0585 units with wastage, and DME prescriptions before submission. Claims that need a fix get fixed before they go out, not after a recoupment letter arrives.
J0585 unit math and wastage
Toxin claims live or die on the unit math. Administered units, wasted units, the JW modifier, and vial reconciliation assemble from the procedure note. Our billers know the per-payer wastage rules and the lot tracking the Medicare contractors check.
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 chemodenervation plan you describe out loud. Up to four speakers for the caregiver and aide in the room, English and Spanish patient-facing. 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 map and functional trend, chemodenervation coding capture at signing, functional-outcome care-gap prompts, re-injection and DME-renewal alerts, and per-code reimbursement at charge entry. You review and select each one.
GlacePhoneSmart
An AI phone agent answers as your practice in English or Spanish, books into real scheduler slots, runs re-injection and DME-renewal recall, fills cancellations from the injection-clinic 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 English and Spanish on every patient-facing surface and 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 re-injection reminders and post-discharge check-ins get worked on the cadence the care plan calls for.
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 functional-outcome and chemodenervation 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, prior chemodenervation maps, EMG reports, and current meds, with your functional templates, spasticity order sets, J0585 unit logic, 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 injection-day claims has gone out clean, the J0585 wastage capture is producing dollars you used to write off, and you have walked the denial queue with your account manager. Chemodenervation recall and DME-renewal workflows are live, filling tomorrow’s injection clinic from the recall list.
DAY 90
The switch starts paying for itself
Your first quarter’s dashboard shows cleaner chemodenervation claims, faster EMG posting, and fewer DME denials parked in the 60-to-90 bucket. Functional-outcome MIPS reporting reflects the work the practice is doing, injection-clinic capacity has grown because re-treatment recalls are landing, 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 chemodenervation maps, 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 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 on weekdays, with 24×7 on-call coverage for urgent issues, so the practice with a problem at 6:30 AM Pacific still reaches a person.
WE KNOW YOUR CODES
We Have Billed Your Mix Before
You already know your codes. We have built the workflows, the scrubber rules, the documentation prompts, and the denial templates around them, so the reimbursement you earned is the reimbursement you collect. The list below is the short version of what runs every day inside the platform for a PM&R practice:
- 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 GlaceEMR handle the chemodenervation muscle map and J0585 wastage capture natively?
Yes. The procedure note carries a per-muscle map (target, dose, side, guidance method), the J0585 units administered, the wasted units, the JW modifier, the toxin product, the lot, and the expiration. The claim assembles from the note rather than being rebuilt by hand on every injection-clinic morning. The recoupment risk from a missing wastage line, an off-by-one unit total, or a missing guidance code drops to near zero because the documentation prompts match the payer rules our billers see every week. The previous injection map prepopulates the new cycle, the consent and prior-auth letter generate from the same chart, and the patient walks out with a scheduled re-treatment date inside the twelve-week window.
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. The studies trend across visits the way functional scores do, so a worsening neuropathy is visible at a glance rather than buried in narrative.
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 functional-outcome trend, 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, so the next renewal cycle is on the calendar before the current one expires.
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, 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. 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, no implementation charges, and no monthly minimums. 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 about 98% of 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.
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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
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