PSYCHIATRY
A Psychiatry EHR That Protects the Therapeutic Hour
A structured mental status exam, controlled-substance prescribing with EPCS and drug-interaction checks, and telepsychiatry built into the chart. That is the psychiatric day on GlaceEMR and GlaceRCM, 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 PSYCHIATRISTS
The Note Does Not Look Like a Psychiatric Note
Psychiatric documentation is unlike anything else in medicine: a mental status exam and a medication-management decision, controlled-substance prescribing on nearly every panel, and a time-based code that depends on the minutes you document. Most outpatient EMRs were not built for any of it. Four pains come up in almost every discovery call.
The MSE is a free-text blob
A generalist template approximates a mental status exam as one big paragraph nobody can scan later, and the note a peer would read for a second opinion is not the note your EMR is producing.
Controlled substances mean three logins
EPCS in one tool, the state PDMP website in another, and the chart in a third. Every stimulant, benzodiazepine, and buprenorphine refill costs tabs and minutes the hour does not have.
Add-on revenue sits on the table
The 99214 plus 90836 you performed gets billed as a 99214 alone, and the minutes that should have driven the code never reach the claim. Across a full panel, that is six figures, invisible.
Telepsych runs on a separate app
Much of the panel is on video, and the video link, the scheduler, and the note live in three products that do not talk to each other, so too many telepsych visits start with a login problem instead of a patient.
GLACEEMR FOR PSYCHIATRY
An EHR Built Around the Psychiatric Encounter
GlaceEMR is ONC-certified and runs on 25+ years of company history. The psychiatric configuration (the MSE template, screening questionnaires, controlled-substance prescribing, and telepsychiatry) is active from day one rather than set up by you. Every capability below ships in the platform today.
A true mental status exam template
Appearance, behavior, speech, mood, affect, thought process, thought content, perceptions, cognition, insight, and judgment are structured fields, not a free-text blob. Each domain ships with pick-list values plus free-text space for nuance, and the resulting note reads like a psychiatric note. Templates are physician-editable per provider.
Screening questionnaires in the visit
The PHQ-9, GAD-7, C-SSRS, and the other screening questionnaires your panel runs on are documented in the visit, next to the MSE and the plan, so the screen and the decision it informed sit in the same note. The 96127 and G0444 screening codes are billed with the visit.
EPCS, interaction checks, and PDMP
Electronic prescribing of controlled substances runs through the national network with Id.me identity proofing, and drug-interaction checks run when you prescribe. In supported states, one click pulls the patient’s PDMP report and displays it inside GlaceEMR, and the check is saved in the chart with the date and time, so stimulant, benzodiazepine, and buprenorphine refills no longer mean a separate website.
Native telepsychiatry and scheduling
HD video is built into the EHR for the telepsych visit, with no third-party link and no separate seat license. The scheduler protects the recurring 50-minute and 30-minute slots a psychiatric panel runs on, with waitlist and recall so a cancellation does not stay an empty hour. GlaceScribe captures the note whether the visit is in person or telepsych.
Included with GlaceEMR vs usually an add-on
When you price out another EMR, count what is included before you compare the headline number. A psychiatric practice usually buys most of the rows below from separate vendors, each renewing on its own schedule. They ship with GlaceEMR.
| Capability | Most EMRs | GlaceEMR |
|---|---|---|
| Structured MSE and screening questionnaires in the visit | Free-text or add-on form pack | Included |
| EPCS with drug-interaction checks | Separate EPCS add-on | Included |
| PDMP report inside the chart (supported states) | Separate state website | Included |
| Telepsychiatry video built into the EHR | Third-party video link | Included |
| GlaceOffice administration suite (HR, credentials) | Separate subscription | Included, free for clients |
A solo psychiatrist can grow to a multi-provider group across multiple locations on the same platform, with no per-location upcharge and the same MSE templates, prescribing workflow, and telepsych setup on day one of a new site.
FROM VISIT TO PAID
One Path, Tracked End to End
GlaceScribe drafts the note from the hour, GlaceIQ surfaces the time-based code with the psychotherapy add-on at the correct duration for your review, the scrubber checks every claim against behavioral-health payer rules before it goes out, and your named billing specialist works the queue to resolution. The same chart and the same team carry the dollar from the room to the deposit.
GLACERCM FOR PSYCHIATRY
A Billing Service That Knows Time-Based and Add-On Coding
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. The service is built for time-based E/M, psychotherapy add-ons, and the behavioral-health payer panel, 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 on time-based psychiatric encounters.
99%+
Collection rate of payer-allowed amounts*. The behavioral-health dollars the payer contractually owes you arrive, because we work the queue to resolution instead of writing it off at 90 days.
$0
Implementation fee and setup charge. We get paid when you get paid, so our interests and yours line up from the day the contract is signed.
*Of payer-allowed amounts.
Time-based and add-on coding captured
The RCM layer prompts time-based coding and the psychotherapy add-on alongside the E/M (99213+90833, 99214+90836, 99215+90838). The undercoding detector protects the complexity documented, and the minutes that drive the code accrue inside the note.
Behavioral-health payer fluency
Psychiatric panels run on commercial behavioral-health carve-outs, Medicare, and Medicaid behavioral coverage. Each carrier has its own denial patterns on time-based E/M and add-on codes and its own appeal language. We work the queue every day and know which carrier needs which documentation packet and which escalation actually moves a denial.
Prior auth on the expensive psychotropics
Long-acting injectables, atypical antipsychotics, ketamine, esketamine, and the controlled stimulant set all carry payer-specific prior-authorization burdens. Prior auths are AI-assembled from the chart and human-finished by the RCM team, so the 45-minute manual project shrinks to a five-minute review and the patient gets the medication the assessment called for.
A named billing specialist
A dedicated account manager who knows the behavioral-health payer mix in your state, the codes you bill, and your top denials. Not a ticket queue, not an offshore call center. Credentialing and payer enrollment, including Medicare and the state-Medicaid behavioral plans, are part of onboarding, and the call center staff are trained on the sensitivity a behavioral-health balance requires.
Percentage of collections, no base fees. Credentialing, payer enrollment, prior auth, daily statements, and a US-based billing call center are part of the service, not separate line items. Denials are worked to resolution with the write-off happening 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. The AI is built on HIPAA-compliant infrastructure from Amazon, Google, Anthropic, Deepgram, ElevenLabs, and other enterprise AI providers, with multi-vendor architecture that preserves operational redundancy.
GlaceScribe
Ambient notes built for the talk-driven visit: HPI around the longitudinal course, a full mental status exam, an assessment per diagnosis, and a plan with the medication decisions, monitoring orders, psychotherapy add-on, and safety plan. Up to four speakers for family meetings, in person or telepsych. The clinician keeps eye contact and still finishes the note when the hour ends.
GlaceIQ
30+ AI features tuned to the psychiatric day: pre-charting from prior notes and recent labs, time-based coding capture at signing, controlled-substance refill safety, 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, runs recall and reminder campaigns to protect the recurring panel, accepts payment over the phone, and surfaces voicemail summaries, so refills and prior-auth callbacks stop burying the front desk and the no-show rate stops eating the day.
A practice-branded portal, mobile app, SMS, and email round out the stack. Patients complete the PHQ-9 and GAD-7 through the portal before the visit so the answers are in the chart when you walk in, and reminders route back into the chart as structured tasks instead of piling up in an inbox somebody reads on Monday.
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR
Most psychiatric practices we onboard are leaving a generalist EMR that never fit the MSE, the time-based coding, or the telepsych visit. 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 psychiatric
You log in to migrated history, active diagnoses, current psychotropics, and prior screening results, with your MSE template, the controlled-substance workflow, and your code favorites for time-based E/M and the add-ons already wired in. EMR go-live happens in under one week. The first visits run slower; by the end of the day, your hands start to remember where everything lives.
DAY 30
Charting faster, add-ons captured
You are charting faster than on the old system because the templates match how you write an MSE, and GlaceScribe carries most encounters. The psychotherapy add-on is landing on the claim alongside the E/M, your first month of submissions is on the dashboard, and you have walked the denial queue with your account manager. Telepsych visits run from the same schedule and the same chart as the in-person ones.
DAY 90
The switch starts paying for itself
Your first quarter’s dashboard shows cleaner claims, faster posting, and fewer denials in the 60-to-90 bucket on time-based and add-on codes. Prior auths on long-acting injectables move faster with the RCM team assembling the packets, and GlacePhoneSmart has cut the no-show rate on the recurring panel. The conversation turns from migration triage to using the platform harder next quarter.
Data migration covers historical records, active diagnoses, current medications, allergies, rating-scale history, and outstanding orders, handled by Glenwood from your prior vendor’s export so your staff does not 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 while the new chart proves itself. Glenwood has been independent and privately held since 1998: 25+ years in market, no outside investors. Support runs 7:00 AM to 8:00 PM Eastern on weekdays, with 24×7 on-call coverage for urgent issues, so the practice with a problem at 6:30 AM Pacific still reaches a person.
WE KNOW YOUR CODES
We Have Billed Your Mix Before
You already know your codes. We have built the workflows, the scrubber rules, the documentation prompts, and the denial templates around them, so the reimbursement you earned is the reimbursement you collect. The list below is the short version of what runs every day inside the platform for a psychiatric practice:
- 90791, 90792: psychiatric diagnostic evaluation, with and without medical services
- 99213, 99214, 99215: office E/M, established patient, time-based
- 90833, 90836, 90838: psychotherapy add-on with E/M (30, 45, 60 minutes)
- 90867, 90868, 90869: transcranial magnetic stimulation (planning and delivery)
- 96127, G0444: brief emotional and behavioral assessment, depression screening
- H0020, J0570, J0571-J0575: methadone administration and buprenorphine implants (MAT)
QUESTIONS WE HEAR EVERY WEEK
Psychiatric Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Does GlaceEMR include a structured mental status exam?
Yes. Appearance, behavior, speech, mood, affect, thought process, thought content, perceptions, cognition, insight, and judgment are structured fields rather than one free-text paragraph. Each domain ships with pick-list values plus free-text space for nuance, so the note reads like a psychiatric note and a colleague can scan it for a second opinion. Templates are physician-editable per provider, and the screening questionnaires you use, such as the PHQ-9 and GAD-7, are documented in the same visit next to the MSE and the plan.
Can we run telepsychiatry inside GlaceEMR?
Yes. HD video is built into the EHR, with no third-party link and no separate seat license. The telepsych visit books into the same scheduler as the in-person panel, including the recurring 50-minute and 30-minute slots, with waitlist and recall so a cancellation does not stay an empty hour. GlaceScribe drafts the note whether the visit is in person or on video, and the draft waits for your review and signature like every other note.
Is GlaceScribe HIPAA-compliant for the psychiatric encounter?
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. Up to four simultaneous speakers are supported for family meetings and multi-party encounters. All coding and order suggestions surface for clinician review before any signing, and nothing reaches the chart until the clinician approves 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.
Does GlaceEMR support EPCS and PDMP for controlled-substance prescribing?
Yes. Electronic prescribing of controlled substances runs through the national network with Id.me identity proofing built in, and drug-interaction checks run when you prescribe. PDMP access is available in supported states (not every state): the prescriber clicks to pull the patient’s PDMP report, it displays inside GlaceEMR, and the check is saved in the chart with the date and time. For the stimulants, benzodiazepines, buprenorphine, and other scheduled agents psychiatry prescribes, that means one chart instead of a separate state website. Ask on the demo whether your state is supported today.
What does GlaceRCM pricing 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 (time-based E/M, add-on psychotherapy, TMS, evaluation codes), your payer panel (commercial behavioral-health carve-outs, Medicare, Medicaid behavioral), and your 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, prior auth, statements, or the call center, because all of that is part of the service.
“Revenue has increased substantially… claims go out immediately.”
Naga Prasuna Madireddy, MD
Ohio
If your practice carries adjacent panels, see how GlaceEMR runs behavioral health, neurology, internal medicine, and family medicine.
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.