NURSING HOME / SNF
A Nursing Home and SNF EHR Built for the Providers Who Round
Your physicians and NPs see residents across several buildings, not in an office. GlaceEMR and GlaceRCM follow the round with roster superbills, GlaceScribe at the bedside, POS 31 and 32 professional billing, and data exchange with each facility’s own EMR, 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 SNF PROVIDERS
The EMR Was Built for the Clinic, Not the Building
Rounding in nursing facilities is the part of medicine other EMR vendors quietly skip, because a chart built for the office visit assumes one location, one schedule, and one front desk. Four pains come up in almost every discovery call with a group that rounds in facilities.
Two charts that never agree
The facility EMR holds the eMAR, the MDS, and the census. The provider EMR holds the round and the billing. The two barely speak, so your team double-documents and reconciles med lists by hand.
Roster rounds leak charges
Twenty residents charted on a clipboard, two dictated in the car. Encounters get dropped and visit levels get coded down, because the day lived in a notebook nobody reconciled the next morning.
Notes get written in the parking lot
A round across three buildings ends with notes still to write. The visit happened at 9 AM, the note gets typed at 9 PM from memory, and the next day’s round starts before yesterday’s charts are closed.
Professional billing gets the details wrong
Professional claims have to ride POS 31 or 32, and initial, subsequent, and discharge-day visits each follow their own rules. Generalist billers miss often enough that denials pile up and HCC capture quietly disappears.
GLACEEMR FOR SKILLED NURSING
An EHR Built for the Round, Not the Clinic
GlaceEMR is ONC-certified and runs on 25+ years of company history. The skilled-nursing configuration is wired in before training starts, so the chart your team opens on day one already knows the rosters, the visit types, and the codes a facility round carries. Every capability below ships in the platform today.
Roster superbills across buildings
Pull the active roster, check off who was seen, mark visit level, drop the day’s charges in one flow. Multi-facility rosters keep each building’s residents separate, so the provider rounding through three buildings before lunch leaves with three clean superbills and no encounters dropped.
Data exchange with the facility’s EMR
When a building runs its own facility EMR, GlaceEMR exchanges data with it over standard interfaces. Demographics, allergies, vitals, and lab values come into the provider chart, and provider notes and orders go back, configured per building during onboarding.
GlaceScribe at the bedside
GlaceScribe drafts the subsequent-visit note while you are still in the room with the resident and the charge nurse: interval history, focused review, and a plan by problem. The draft waits for your review and signature, so the chart closes with the visit instead of at 9 PM.
Transitional Care Management at discharge
When a resident leaves the SNF for home or assisted living, the TCM contact, the medication reconciliation, and the follow-up visit are documented in the chart, and the billing team bills 99495 or 99496 when the service qualifies.
CCM and PCM for long-stay residents
Chronic and principal care management time for eligible long-stay residents is documented in the chart and billed through GlaceRCM, so the care coordination your team already does between rounds reaches a claim.
eRx, labs, and hospital results
Electronic prescribing with EPCS and drug-interaction checks, plus 60+ lab and 15+ hospital interfaces, so the order goes out from the chart and the round starts from current results instead of a faxed report.
Included with GlaceEMR vs usually an add-on
When you price out another EMR for a multi-building practice, 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. They ship with GlaceEMR.
| Capability | Most EMRs | GlaceEMR |
|---|---|---|
| Roster superbills across multiple buildings | Paper or spreadsheet | Included |
| CCM, PCM, and TCM | Separate care-management product | Included |
| Data exchange with the facility EMR | Interface fee | Included |
| 60+ lab and 15+ hospital interfaces | Per-interface fee | Included |
| Native iOS and Android apps for providers and staff | Mobile-web only | Included |
| GlaceOffice administration suite (HR, credentials) | Separate subscription | Included, free for clients |
The facility keeps its own EMR for the eMAR, the MDS, and the census. Your group keeps a chart built for the round, and GlaceEMR exchanges data with the facility’s system over standard interfaces, so the provider chart and the facility chart agree on the resident in front of the team.
FROM ROUND TO PAID
One Path, Tracked Across Every Building
GlaceScribe drafts the note at the bedside, GlaceIQ suggests the visit level and HCC codes for your review, the billing team bills the visit under POS 31 or 32 with the right initial or subsequent code, and your named billing specialist works the queue to resolution. The same chart and the same team carry the charge from the round to the deposit, so nothing falls through a handoff between four different vendors.
GLACERCM FOR SKILLED NURSING
A Billing Service That Speaks Facility Rounding
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 the SNF code mix and the Medicare-and-MA-heavy payer panel, and the numbers below reflect that focus.
95%+
First-pass claim adjudication on professional submissions. Most claims pay on the first pass, with no rework lost to denial follow-up on subsequent-visit POS routing.
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 for a missed POS edit.
$0
Implementation fee and setup charge. We get paid when you get paid, so our interests and yours line up across every building you cover.
*Of payer-allowed amounts.
Professional billing for POS 31 and 32
Our billing team bills SNF (POS 31) and nursing facility (POS 32) visits with the initial, subsequent, and discharge-day codes each visit calls for. The provider documents the visit, and the billing team carries the claim from submission to payment.
Assisted living and long-term care rounds
Physicians and NPs who also round in assisted living and long-term care buildings bill those visits through the same service: POS 13 for assisted living and POS 32 for long-term nursing facility residents, on the same roster and with the same billing team.
Medicare, MA, dual, and I-SNP fluency
Traditional Medicare, MA HMO and PPO, MA I-SNP, and dual-eligible coverage are handled cleanly across long-term care. We work the queue daily and know which payer needs which evidence packet and which escalation actually moves a denial.
A named billing specialist
A dedicated account manager who knows the SNF payer mix in your state, the buildings you cover, and your top denials. Not a ticket queue, not an offshore call center. Denials are worked to resolution, and the write-off happens only when you sign off.
Percentage of collections, no base fees. Provider credentialing, payer enrollment, prior auth, daily statements, and a US-based billing call center are part of the service, not separate line items. Every round, the system cross-checks the active roster against billed encounters and flags missed visits before the day closes, so the notebook in the car is replaced by a queue the practice manager clears every morning.
AI AND FAMILY 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 subsequent-visit notes tuned to the round: interval-since-last-visit HPI, focused review, and a plan organized by problem. Up to four speakers for the resident, the charge nurse, and the daughter on speakerphone. Every draft waits for your review and signature.
GlaceIQ
30+ AI features tuned to the SNF day: a pre-chart before the round, visit-level suggestions from documented complexity, HCC suspect logic at sign-off, and round sequencing by acuity. You review and select each one.
GlacePhoneSmart
An AI phone option inside GlaceEMR and GlaceRCM answers as the practice. Families reach a voice instead of voicemail at 9 PM, the agent triages urgency to the on-call provider, books care conferences, and accepts payment over the phone.
SNF engagement is mostly family engagement and facility-staff coordination. Scoped proxy portal access for healthcare powers of attorney, secure facility-staff messaging for the DON and charge nurses, telephone-order workflow that ties the call to a signed note, and family handouts keep the family informed and the orders documented without pulling nursing off the floor.
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR or a Hybrid Setup
Most facility-based groups we onboard are leaving a legacy platform or a hybrid setup where paper and fax bridged the gap. 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 holds your rosters
You log in to migrated resident history, active problem lists, current meds, and your rosters by building, with roster superbills and your code favorites wired in. EMR go-live happens in under one week. The first rounds run slower; by the end of the day, your hands start to remember where everything lives.
DAY 30
Rounds faster, claims flowing
Rounds are faster than on the old system because the templates match how the providers document, and GlaceScribe carries most visits. The first month of visits, CCM time, and ACP has rolled into claims, POS 31 and 32 billing is clean, and you have walked the denial queue with your account manager. Results from the facility EMR, the labs, and the hospitals are in the provider chart before the round.
DAY 90
The switch starts paying for itself
The first quarter’s dashboard shows cleaner claims, faster posting, and fewer denials parked in the 60-to-90 bucket on subsequent visits. CCM, ACP, and TCM are billed consistently, HCC capture on the MA and I-SNP panels is climbing, and no encounter is sitting in a notebook in somebody’s car.
Data migration covers historical records, problem lists, current medications, allergies, 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 so the practice keeps operating while the new platform 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 covering provider 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, with the denial templates and appeal language built around them. The list below is the short version of what we bill for a practice that rounds in nursing facilities:
- 99304, 99305, 99306: initial nursing facility care, low to high complexity
- 99307, 99308, 99309, 99310: subsequent nursing facility care
- 99315, 99316: nursing facility discharge day
- 99495, 99496: Transitional Care Management after discharge to home or assisted living
- 99497, 99498: Advance Care Planning
- 99490, 99439, 99487, 99489: Chronic Care Management and complex CCM add-ons
- POS 31 / 32 / 13: skilled nursing, nursing facility, assisted living routing
QUESTIONS WE HEAR EVERY WEEK
Skilled Nursing Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Will GlaceEMR interface with the facility’s existing facility EMR?
Yes. When a building runs its own facility EMR, GlaceEMR exchanges data with it over standard interfaces. Resident demographics, allergies, vitals, and lab values come into the provider chart, and provider notes and orders go back. We configure the interface per building during onboarding, so the practice works from one current picture of each resident instead of two charts that quietly disagree all month. The facility keeps its own system for the eMAR, the MDS, and the census; GlaceEMR is the chart your providers round with.
How does roster-based rounding actually work in the field?
The provider pulls the active roster for the building, checks off who was seen, marks the visit level, and drops the day’s charges in one flow, with each building’s residents kept separate. GlaceIQ frames a pre-chart for your review with recent labs, the last note, and open plan items, and GlaceScribe drafts each note at the bedside for your review and signature. The system tracks who has been seen and flags any missed encounters before the round closes, so no charge is sitting in a notebook in somebody’s car waiting to be reconciled the next morning.
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 rounds. Up to four simultaneous speakers are supported, and all coding and order suggestions surface for review before signing. Nothing reaches the chart until the clinician approves it. Audio is processed in transit, the note is stored in your single-tenant chart database with LUKS encryption at rest, and the data never trains a shared model.
Do you bill visits in assisted living and long-term care buildings too?
Yes, for your group’s professional services. Physicians and NPs who round in assisted living buildings bill those visits under POS 13, and long-term nursing facility residents bill under POS 32, through the same roster workflow and the same billing team as your SNF visits. Professional E/M, ACP, CCM, and TCM all run through one revenue cycle, so a group that covers several kinds of buildings works one denial queue with one account manager.
What does GlaceRCM pricing look like, and do we have to switch EHRs to use it?
You pay a percentage of what we collect, with no base fees and no implementation charges. The exact percentage depends on your code mix, your facility footprint, and your payer panel, and you will have it after a 20-minute discovery call. GlaceRCM is a bundled service that includes GlaceEMR clinical software, the practice management software, and the billing team that works your claims to resolution. Most Glenwood clients choose the bundled path, and we would rather run it on our platform. But we are flexible: if you want to keep your current EMR, our billing team will work your claims in your EMR or ours. EHR go-live is under one week, data migration is handled by Glenwood, and implementation is $0.
“Top notch EMR with integrated Billing Service. Great technical support.”
Purnima Adlakha, MD
Massachusetts
If your providers also carry adjacent panels, see how GlaceEMR runs geriatrics, 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.