RHEUMATOLOGY
Rheumatology EHR and Billing Without the Biologic Paperwork Drag
GlaceEMR and GlaceRCM built for biologic prior auth, infusion-day J-code billing, and DMARD labs trended through 60+ lab interfaces, charged at a percentage of collections with no base fees and backed by 95%+ first-pass claim adjudication and 99%+ collection of payer-allowed amounts*.
*Of payer-allowed amounts.
WHAT WE HEAR FROM RHEUMATOLOGISTS
The Chart Was Built for Somebody Else’s Visit
Rheumatology manages chronic disease over years of labs, biologics, and infusions, and most EHRs were built for a single acute visit. The chart buckles the moment you carry relentless DMARD lab monitoring, biologic prior auths, and infusion-day J-code billing. Three pains come up in almost every discovery call.
Biologic prior auths take days
Every new start and step-therapy fail runs through a payer auth queue on its own schedule. Patients flare while paperwork sits, and your nurses run it between rooming patients.
DMARD labs are scattered
Methotrexate CBC and LFTs, TPMT, creatinine. The results come back by fax and portal from different labs, the trend lives in nobody’s view, and a slow transaminitis climb is easy to miss when every result is a separate PDF.
Infusion revenue leaks at the chair
Without an infusion log in the chart, units and times get rebuilt from memory, JW and JZ wastage modifiers get missed, and J-code dollars leak straight off the bottom line.
GLACEEMR FOR RHEUMATOLOGY
An EHR Built Around the Infusion Chair and the Lab Trend
GlaceEMR is ONC-certified and has run in private rheumatology practices for years, with 25+ years of company history behind it. The rheumatology configuration is wired in before training starts, so DMARD lab trending, structured joint counts, imaging in the chart, and infusion documentation are switched on from the first login.
DMARD labs, trended across years
CBC, LFTs, creatinine, and the rest of the methotrexate, leflunomide, azathioprine, and JAK-inhibitor labs return through 60+ two-way lab interfaces with abnormal flags and trend across years in the chart. The slow LFT climb is visible on one screen, not spread across a stack of faxes.
In-office infusion logs
Capture drug, dose, units administered, units wasted, start and stop times, premeds, and reaction notes at the chair. The log gives your billing team the units, waste, and times the J-code claim needs, so nothing is rebuilt from memory at the end of the day.
Joint exam and imaging
Structured 28-joint and 66/68-joint counts are documented in the visit. MSK ultrasound, hand and foot films, and DEXA read in the chart through the integrated PACS viewer, with no separate viewer to launch.
Included with GlaceEMR vs usually an add-on
When you price out another EMR, 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 date and price increase. They ship with GlaceEMR, with no tier games at renewal.
| Capability | Most EMRs | GlaceEMR |
|---|---|---|
| PACS and DICOM viewer for MSK ultrasound, films, DEXA | Add-on license | Included |
| CCM, RPM, and PCM for between-infusion touchpoints | Separate product | Included |
| Self-check-in kiosk with pre-visit intake | Third-party vendor | Included |
| 200+ reports plus a self-serve report builder | Consulting or ticket | Included |
| GlaceOffice administration suite (HR, PTO, inventory) | Separate subscription | Included, free for clients |
| Native iOS and Android apps for providers and infusion staff | Mobile-web only | Included |
A solo rheumatologist can grow to a multi-provider group across locations and infusion suites on the same platform, with no per-location upcharge and no re-implementation when you add a satellite suite next quarter.
FROM CHAIR TO PAID
The Infusion Day, Tracked End to End
GlaceIQ assembles the prior-auth packet for your review, the chair is booked in the schedule next to the chart, the chair-side log captures units and wastage, our billing team codes the J-code claim and it is scrubbed before it goes out, and your named billing specialist works it to resolution. One chart and one team carry the dollar from the chair to the deposit, so nothing falls through a handoff between four vendors.
GLACERCM FOR RHEUMATOLOGY
A Billing Team That Knows Biologics, J-Codes, and Prior Auth
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 reads the infusion log directly, but if you are staying on your EMR our team works your claims there. The service is built for the prior-auth-heavy, infusion-heavy rheumatology payer panel.
95%+
First-pass claim adjudication. Most claims, including infusion-day J-code 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 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.
Biologic prior authorization as a service
Biologic and JAK-inhibitor auths assembled from your chart and labs with the packet payers actually need: diagnosis, prior failed therapies, your documented disease activity, TB and hepatitis results, and step-therapy attestations. We follow each auth to decision, including the peer-to-peer, so your nurses stop running auth between rooming patients.
J-code infusion billing from the chair
Our billing team bills from the infusion log: originator and biosimilar Q-codes, JW and JZ modifiers, NDC units, and the administration codes (96365, 96413, 96415) that go with them. Buy-and-bill and white-bagged infusions are billed the way each payer requires.
Denials worked to resolution
Step-therapy, medical-necessity, dose-frequency, and NOC-code denials get worked, not written off. Appeals are assembled with your documented disease activity and prior failed-therapy history. The write-off only happens when you sign off, and the dashboard shows where every disputed dollar stands.
A named billing specialist
A dedicated account manager who knows rheumatology payer mix in your state, the J-codes you bill, the biosimilar substitution rules in your top plans, and your top denials. 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, specialty-pharmacy and copay-assistance coordination, 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 an infusion-day balance, not your front desk, so the receptionist confirming tomorrow’s chair schedule is not stuck on a billing call.
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 SOAP notes structured the way rheumatology writes, with joint-count-driven HPI and a plan organized by therapy. It recognizes ACR criteria language and DMARD titration phrasing. Up to four speakers, in person or telehealth.
GlaceIQ
30+ AI features tuned to your day: pre-charting from recent labs and the last visit, AI-assembled prior-auth packets, HCC and ICD-10 suggestions at signing, and per-J-code reimbursement at charge entry. You review and select each suggestion.
GlacePhoneSmart
An AI phone agent answers as your practice, books into real chair and visit slots, runs infusion-day confirmations and biologic refill reminders, fills cancellations, and surfaces voicemail summaries so the front desk stops drowning during biologic season.
A practice-branded portal, mobile app, kiosk, SMS, and email round out the stack. Intake finishes before the patient walks in, recall reminders go out from your practice’s recall lists, and replies 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 rheumatology practices we onboard are leaving a legacy platform that never fit the infusion 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, current biologic and DMARD regimens, lab history, and prior TB and hepatitis results, with your templates, order sets, and infusion-log layout already wired in. EMR go-live happens in under one week. 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 HPIs. Your first month of infusion-day claims is on the dashboard, your first biologic auths have been worked end to end, and DMARD lab results land in the chart with abnormal flags instead of in a fax tray.
DAY 90
The switch starts paying for itself
Your first quarter’s dashboard shows cleaner infusion-day claims, faster posting, fewer denials in the 60-to-90 bucket, and biosimilar substitution rules running correctly. Prior auth runs on a managed cadence instead of a firefight, and the conversation turns from migration triage to using the platform harder next quarter.
Data migration covers historical records, DMARD and biologic history, monitoring lab history, prior TB and hepatitis results, allergies, and outstanding orders, handled by Glenwood from your prior vendor’s data export in 2 to 5 business days. 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 active biologic regimens never get interrupted. 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 an infusion-day issue 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 rheumatology practice:
- 99213, 99214, 99215: office E&M, established rheumatology follow-up
- 96365, 96366: therapeutic IV infusion, initial and additional hours
- 96413, 96415: complex biologic infusion, initial and additional hours
- 96372: therapeutic injection for in-office biologic dosing
- 20610, 20611: major joint aspiration or injection, without and with ultrasound
- J1745, Q5103, Q5104, Q5121: infliximab originator plus biosimilar Q-codes, billed with JW/JZ modifiers
- J3490, J9999: unclassified drug codes when a payer has not loaded the agent
- G2212: prolonged service add-on for the complex management visit past 99215
QUESTIONS WE HEAR EVERY WEEK
Rheumatology Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Can we see DMARD monitoring labs trended across years?
Yes. CBC, LFTs, creatinine, and the other monitoring labs return through 60+ two-way lab interfaces with abnormal flags and trend across years in the chart, so the methotrexate patient’s slow LFT climb is visible on one screen instead of across a stack of PDFs. Results land in the provider’s inbox for review, and your recall lists bring the patient back for the next draw. Structured joint counts are documented in the visit, and MSK ultrasound, films, and DEXA read in the built-in PACS viewer. The monitoring decision stays with you; the chart puts the history in front of you.
How does GlaceRCM handle biologic prior authorization?
GlaceIQ assembles the documentation packet from the chart: diagnosis, prior failed agents, your documented disease activity, TB and hepatitis results, vaccination history, and step-therapy attestations. Our billing team finishes, validates, and submits, follows the auth through to decision, and schedules the peer-to-peer when medical necessity is in dispute. The 45-minute manual project shrinks to a five-minute review for the prescriber. The terms are spelled out in your GlaceRCM agreement, so there are no surprise line items. Your nurses stop running prior auth between rooming patients, and the renewal calendar runs as a managed program inside the same dashboard that runs your denials and collections.
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. Up to four simultaneous speakers are supported, 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, infusion volume, and overall 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 the scrubber reading the chart and infusion log directly, 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 your patients use, because all of that is part of the service.
How long is implementation, and what does training look like for an infusion practice?
You go live on the EMR in under a week. Your RCM transition runs 4 to 8 weeks alongside payer enrollment. We handle your data migration in 2 to 5 business days, including DMARD and biologic history, monitoring lab history, and prior TB and hepatitis results, so your staff does not have to clean charts. Providers and infusion nurses train in pieces around real clinic, not in a multi-day block that forces you to close the chair: a 2-to-4-hour core clinical session, then targeted follow-ups for advanced modules and the infusion-log workflow. Every role gets unlimited online training during onboarding, and it stays available for new hires later. We recommend keeping your previous vendor running alongside us for 30 to 90 days so active biologic regimens never get interrupted, and the account manager who runs your migration is the same one who picks up the phone in month six.
“Customer service is amazing… above and beyond… even after hours or on weekends.”
Nikesh Batra, MD
Ohio
If you carry adjacent panels, see how GlaceEMR runs internal medicine, endocrinology, nephrology, and orthopedics.
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.