SLEEP MEDICINE
An EHR Built Around the Study, the Device, and the Adherence Data
Your PSG and HSAT orders, your in-lab studies, your CPAP and BiPAP titrations, your DME packets, your device downloads, and your payer compliance clock all live in one chart, 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 SLEEP PHYSICIANS
A Chart With Nowhere to Put the Data
Sleep medicine lives at the intersection of diagnostics and device management, and the horizontal EMR most sleep practices run has nowhere to put a study result, a titration record, or a stream of adherence data. Four pains come up in the first thirty minutes of almost every discovery call, and each one quietly costs you a covered device, lost revenue, or both.
Studies arrive as flat PDFs
The interpretation lives outside the chart, and AHI, oxygen nadir, and arousal index get retyped into the note. At the resupply visit, nobody can say whether the patient is responding without opening four windows and a device portal.
The adherence clock is somebody else’s job
The 4-hour, 70-percent-of-nights window inside the first 90 days decides coverage, but the data lives in a vendor portal nobody logs into on Tuesday. The patient at 3.8 hours in week six would have closed the gap with one call.
DME paperwork eats the schedule
A CPAP order needs the face-to-face note, the detailed written order, the qualifying study, and the supplier packet, and any missing element delays the device. The same fight plays out on every mask, cushion, and tubing resupply.
The billing rules are tight and denials follow
Stacked modifiers on split-night and titration, professional and technical components, NCD 240.4 necessity, and KX and GA modifiers on DME all need clean documentation upfront or the claim sits in AR for 60 days. The phones never stop.
GLACEEMR FOR SLEEP MEDICINE
A Chart Built Around the Study, the Device, and the Compliance Clock
GlaceEMR is ONC-certified and has run in private sleep practices for years, with 30+ years of company history behind it. The sleep-medicine configuration is wired in before training starts, so the chart your team opens on day one already knows the studies, the devices, the modifiers, and the workflows your practice runs on. Every capability below ships today.
Structured study capture and trending
AHI, RDI, oxygen nadir, arousal index, sleep efficiency, and sleep-stage breakdown land as structured fields from in-lab PSG, split-night, MSLT, and home sleep tests. Studies trend across the patient’s history, so the diagnostic-to-titration-to-resupply arc reads at a glance instead of from four windows.
PAP compliance dashboard and the 90-day clock
The 4-hour, 70-percent-of-nights threshold inside the 90-day window is a first-class part of the chart. Adherence data ingests from the device platforms your patients use, each patient carries a clear ready-or-not status, and the patient at 3.8 hours in week six gets flagged for a call before the window closes.
DME order packets that do not bounce
The face-to-face documentation, the detailed written order, the qualifying study, and the clinical evaluation assemble into a supplier-ready packet from chart data. The same workflow runs resupply for masks, cushions, tubing, and headgear, so your team stops being a documentation broker between the DME supplier and the payer.
Sleep questionnaires and intake
Epworth, STOP-BANG, the Insomnia Severity Index, and symptom history collect as discrete fields through the kiosk, portal, or SMS before the visit. The data the payer demands for a prior auth is already in the chart, and the rooming MA spends her time on history instead of typing off a clipboard.
eRx, labs, and hospital feeds
Surescripts e-prescribing with EPCS for the narcolepsy stimulant and wake-promoting agents, with identity proofing and interaction alerts. 60+ two-way lab interfaces and ADT and discharge feeds from 15+ hospitals bring the comorbidity data and the inpatient sleep consult back into the chart with abnormal flags.
Scheduler that protects lab capacity
Multi-provider, multi-location, drag-and-drop scheduling for clinic and lab nights, with waitlist and recall campaigns. GlaceIQ fills openings by recall priority, and GlacePhoneSmart books studies after hours so the non-adherent and titration-follow-up rosters get worked instead of leaking when staff is at lunch.
Included with GlaceEMR vs usually an add-on
When you price out another EMR for a sleep practice, count what is included before you compare the headline number. The rows below are upsells, separate vendors, or consulting fees almost everywhere else, each with its own renewal date and price increase. They ship with GlaceEMR, with no tier games and no surprise line items.
| Capability | Most EMRs | GlaceEMR |
|---|---|---|
| PAP compliance dashboard with the 90-day clock | Vendor portal login | Included |
| Structured study capture (PSG, MSLT, HSAT) | PDF attachments | Included |
| Sleep questionnaire intake (Epworth, STOP-BANG) | Third-party vendor | Included |
| Self-check-in kiosk, English and Spanish | Separate subscription | Included |
| GlaceOffice administration suite (HR, PTO, credentials) | Separate subscription | Included, free for clients |
| 200+ reports plus a self-serve report builder | Consulting or ticket | Included |
| Native iOS and Android apps for providers and staff | Mobile-web only | Included |
A solo practice can grow to 20 providers across multiple clinic and lab locations on the same platform, with no per-location upcharge and no contract to renegotiate when you add a lab next quarter.
FROM STUDY TO PAID
One Path, Tracked End to End
GlaceScribe drafts the note, GlaceIQ surfaces the modifier logic and the continued-coverage documentation for your review, the scrubber checks every PSG, titration, and DME claim against payer rules and NCD 240.4 necessity 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 lab night to the deposit, so nothing falls through a handoff between four different vendors.
GLACERCM FOR SLEEP MEDICINE
A Billing Service That Knows Sleep Coding
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 study modifier logic, the DME claim rules, and the continued-coverage paperwork that gate sleep revenue.
95%+
First-pass claim adjudication. Most sleep 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.
Study modifier logic done right
The scrubber knows the difference between a global study, a professional-only read, a technical-only run, a split-night, a full titration, an MSLT, and an HST, and applies the 26, TC, 52, and 59 modifiers from what the documentation actually says. The claim that should bill split is split, and the modifier that costs 40 percent is caught by the scrubber, not the EOB.
DME and continued-coverage claims
E0601, E0470, and E0471 with the right KX and GA modifiers, and the A7030 through A7039 PAP supply resupply tracked on the payer schedule. Continued-coverage documentation pulls from the compliance dashboard, so the device coverage beyond 90 days does not lapse on a missing face-to-face note.
Prior auth and denials worked to resolution
Preauth for in-lab PSG, split-night, MSLT, and oral-appliance referrals is assembled from the chart by our team with the Epworth, STOP-BANG, and comorbidity data the payer demands. NCD 240.4 and 240.4.1 necessity language and the LCD citation land on the claim, and every denial is worked through appeals; a write-off happens only when you sign off.
A named billing specialist
A dedicated account manager who knows sleep payer mix in your state, your study and DME codes, 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, and credentialing and payer enrollment for your physicians, advanced-practice clinicians, and techs are part of onboarding.
Percentage of collections, no base fees. 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 or a recoupment letter, not your front desk, and soft collections are handled in-house. The recoverable revenue sitting in sleep denials and unbilled compliance follow-ups is in the six figures for a typical panel, and the percentage you pay tends to cover itself out of dollars a busier biller was quietly writing off.
AI AND PATIENT ENGAGEMENT
The Documentation, the Compliance, 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 notes tuned to sleep, with the sleep history, the prior study review, and a per-problem plan. Up to four speakers, which matters when a bed partner is in the room. In person or telehealth, English and Spanish patient-facing. The interpretation drops in as a structured read, and charting finishes when the visit finishes.
GlaceIQ
30+ AI features tuned to your day: pre-charting from the study and device data, compliance prompts when the 90-day window is approaching and adherence is borderline, the study modifier and DME documentation surfaced before submission, and denial prediction. AI assembles the prior-auth packet for the billing team to finish. You review and select each one.
GlacePhoneSmart
An AI phone agent answers as your practice in English or Spanish, books into real study and follow-up slots, runs recall for the non-adherent and titration-follow-up rosters, fills cancellations, and surfaces voicemail summaries so the front desk stops drowning in resupply and mask-fit calls.
A practice-branded portal, mobile app, kiosk, SMS, and email round out the stack, with English and Spanish on every patient-facing surface. The patient who only opens email and the patient who only opens text both end up on the schedule, both finish intake before they walk in, and both pay their balance without the front desk lifting a finger. Replies route back into the chart as structured tasks, so resupply reminders, adherence outreach, and titration follow-ups get worked on the cadence the care plan calls for instead of piling up in an inbox.
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR
Most sleep practices we onboard are leaving a horizontal platform that had nowhere to put a study, a titration, or an adherence stream. 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, including historical study PDFs and PAP records, with your templates, study capture, compliance dashboard, DME packets, and questionnaire intake already wired in. EMR go-live happens in under one week. The first few visits run slower; 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. Study and DME claims are flowing with the modifiers applied, the first submissions are on the dashboard, and you have walked the denial queue with your account manager. The compliance dashboard is working the at-risk roster.
DAY 90
The switch starts paying for itself
Your first quarter’s dashboard shows cleaner study and DME claims, faster posting, and fewer denials parked in the 60-to-90 bucket, with continued-coverage paperwork running on a managed cadence. The unbilled compliance follow-ups are now billed revenue, and GlacePhoneSmart has visibly cut front-desk call volume.
Data migration covers historical records, documents, study PDFs, PAP records, problem lists, current medications, 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 the practice keeps operating normally while the lab keeps running. Provider training is delivered in pieces around real clinic and real lab nights, and every role (front desk, MAs, sleep techs, scoring techs, providers, billers, administrators) 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. 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 sleep practice:
- 95810, 95811: attended polysomnography and PSG with PAP titration
- 95800, 95801, 95806: home sleep apnea testing variants
- 94660: CPAP initiation and management, follow-up evaluation
- E0601, E0470, E0471: CPAP, BiPAP, and BiPAP-ST DME HCPCS codes
- A7030 through A7039: PAP supplies (masks, cushions, headgear, tubing, filters)
- 95805: Multiple Sleep Latency Test (MSLT) for narcolepsy workup
- 99213, 99214, 99215: office E&M for established sleep follow-ups
- 99417, G2212: prolonged service add-ons when the visit runs long
QUESTIONS WE HEAR EVERY WEEK
Sleep Medicine Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Does GlaceEMR track CMS PAP compliance natively?
Yes. The 4-hour-per-night, 70-percent-of-nights threshold inside the 90-day window is a first-class part of the chart, not a separate spreadsheet your front desk has to maintain. Adherence data ingests from the device platforms your patients use, the threshold sits per patient with a clear ready-or-not status, and the patient who is running at 3.8 hours in week six gets flagged for a phone call before the window closes instead of after. The dashboard rolls up to a panel view your office manager can read in two minutes, and the recall workflow routes the at-risk patients into GlacePhoneSmart or portal outreach without your staff lifting a finger. The continued-coverage paperwork that gates the device beyond the first 90 days is assembled from the same data, so the payer receives what the payer needs.
How does GlaceRCM handle the modifier logic on PSG and titration claims?
The scrubber knows the difference between a global study, a professional-only read, a technical-only run, a split-night, a full titration, an MSLT, and an HST. It applies the 26, TC, 52, and 59 modifiers based on what the documentation actually says, not based on a default the previous biller set five years ago and nobody has audited since. Payer-specific rule sets handle the variations across MACs and commercial plans. The claim that should bill split is split, the claim that should bill global is global, and the modifier that costs 40 percent of the reimbursement when it is wrong gets caught by the scrubber instead of the EOB. NCD 240.4 and 240.4.1 medical-necessity language is attached automatically when the documentation supports it, and the LCD citation lands on the claim before submission.
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, which matters in sleep where a bed partner is often in the room. English and Spanish patient-facing. 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 with LUKS encryption at rest, 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 (study-heavy, DME-heavy, or follow-up-heavy), your payer panel, 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?
Not necessarily. We would rather you run on the full GlaceRCM bundle, because the quality of the billing depends on the quality of the integration: real-time eligibility, claim scrubbing tuned to the actual chart, and denial root-cause analysis that closes the loop back to the encounter. About 98% of Glenwood clients choose the bundled path for that reason. But we are flexible. If you want to keep your current EMR, our medical billing team will work your claims in your EMR or ours. And 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. When you do choose the bundle, the switch is well-rehearsed: EHR go-live in under one week, data migration in 2 to 5 business days handled by Glenwood from your prior vendor data export, $0 implementation, and a 30-to-90-day overlap with your prior vendor that protects continuity.
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See What Glenwood Can Do for Your Practice
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