NURSING HOME / SNF
Run Your Skilled Nursing Practice Around the Round, the eMAR, and the Survey
A facility runs on the assessment schedule, the medication-administration record, the census, and permanent survey readiness, not on office visits. GlaceEMR and GlaceRCM rebuild around the building, 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
Skilled nursing is the part of medicine other EMR vendors quietly skip, because the assessment, the eMAR, the census, and institutional billing never lined up in a chart built for the office visit. Four pains come up in the first thirty minutes of almost every discovery call with a facility-based group.
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.
Survey readiness is a scramble
The surveyor walks in and you have eight minutes to find F-tag documentation. Falls, antipsychotics, GDR, and pressure injuries are tracked in a binder and a spreadsheet, not in the chart.
Institutional or professional, unclear
Professional claims ride POS 31 or 32 while the facility bills institutional on the Part A stay. Generalist billers produce neither cleanly, so denials land on both sides and HCC capture quietly disappears.
GLACEEMR FOR SKILLED NURSING
An EHR Built for the Building, Not the Clinic
GlaceEMR is ONC-certified and runs on 30+ 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 assessments, the order sets, and the codes a SNF round carries. Every capability below ships in the platform today.
MDS 3.0 engine and RAI scheduling
The full MDS 3.0 set with RAI scheduling and completion tracking. CAAs trigger from the assessment, and the assessment, the care plan, and the order live in one record, so the documentation that drives PDPM also drives the care plan a surveyor reviews.
eMAR with barcode administration
Barcode medication administration, controlled-substance counting, and facility-formulary favorites with default SIG. Interaction, gradual-dose-reduction, and renal-dosing checks fire against the resident’s data, so the med pass and the narcotic count become part of the chart instead of a separate paper process.
Live census, ADT, and bed management
Real-time census with room assignment and bed-hold tracking. A live ADT board per building flags new admits for the initial visit and starts the Transitional Care Management call timer the moment a resident returns from acute, so the TCM clock starts on time, not two days late.
F-tag survey readiness, every day
F-tag tracking, mock-survey tools, deficiency tracking, and plan-of-correction management keep the building audit-ready each morning. Fall-risk, pressure-injury, psychotropic, GDR, and antibiotic-stewardship workflows hold the clinical risks that drive citations under active management in the chart.
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.
Offline mobile for rounds and on-call
Native iOS and Android apps document offline at the bedside when wifi drops to one bar. The note, the order, and the superbill entry queue locally and sync on return. The covering provider at 11 PM pulls up the resident, the code status, and the last note in seconds, and the chart is whole by morning.
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 |
|---|---|---|
| CCM, PCM, BHI, and TCM time tracking | Separate care-management product | Included, native |
| Antipsychotic GDR and AIMS tracking | Side spreadsheet | Included, structured fields |
| Wound care with anatomical mapping | Add-on module | Included |
| Facility EMR interfaces, two-way | Interface fee | Included |
| 60+ labs and 15+ hospital ADT feeds | Per-interface fee | Included |
| GlaceOffice administration suite (HR, credentials) | Separate subscription | Included, free for clients |
When the building runs its own facility EMR for the eMAR, the MDS, and the census, GlaceEMR exchanges data both directions over standard interfaces, so the provider chart and the facility chart finally agree on the resident in front of the team. When your group wants to be the system of record, GlaceEMR runs all of it natively.
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 scrubber checks POS routing and initial-versus-subsequent logic before the claim goes out, 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 SNF, Professional and Institutional
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 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 and institutional 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, setup charge, and monthly minimum. We get paid when you get paid, so our interests and yours line up across every building you cover.
*Of payer-allowed amounts.
POS routing without thinking about it
SNF (POS 31), nursing facility (POS 32), and assisted living (POS 13) are applied per resident at scrub time. Initial-versus-subsequent visit logic is enforced before submission, so the provider stops guessing whether today’s 99309 should ride a 31 or a 32.
Institutional 837I and UB-04
When the practice carries facility revenue, we generate 837I and UB-04 claims, handle PDPM and RUG classification driven from the MDS, run the triple-check workflow, and track authorization through continued stay and benefit exhaustion, so the assessment that drives care also drives the claim.
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 modifier applies when the attending of record is or is not the hospice physician.
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 and facility 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. It runs offline on the app and finalizes when connectivity returns.
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, GDR and stewardship prompts inline, and round sequencing by acuity. You review and select each one.
GlacePhoneSmart
An AI phone option inside GlaceEMR and GlaceRCM answers as the practice in English or Spanish. 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 bilingual EN/ES 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 the census
You log in to migrated resident history, active problem lists, current meds, recent MDS, and the transferred census, with roster superbills, F-tag tracking, GDR workflows, the ADT board with TCM trigger, 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 CCM and ACP time has rolled into a claim, POS 31/32 routing is working cleanly, and you have walked the denial queue with your account manager. The GDR, stewardship, and MDS-due rosters are live and worked as part of the normal week.
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 real revenue lines that did not exist before, HCC capture on the MA and I-SNP panels is climbing, and the eMAR, the MDS engine, and the chart finally agree on each resident. The survey-readiness dashboard shows green where it used to show binders.
Data migration covers historical records, MDS history, care plans, 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 1994: 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 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. We have built the workflows, the scrubber rules, and the denial templates around them, with POS routing, initial-versus-subsequent rules, and prolonged-service add-ons all worked at scrub time. The list below is the short version of what runs every day inside the platform for a SNF practice:
- 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 for hospital returns
- 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
- 837I / UB-04 with PDPM HIPPS: institutional claims when the practice carries facility revenue
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 for the eMAR, the MDS, and the census, GlaceEMR exchanges data both directions over standard interfaces. Resident demographics, allergies, vitals, lab values, MDS summaries, and ADT events flow into the provider chart. Provider notes, orders, and care-plan updates flow back. We configure the interface per building during onboarding, and the practice ends up with one source of truth per resident instead of two charts that quietly disagree all month. If your group wants to be the system of record for the building’s clinical and institutional operations, GlaceEMR runs eMAR, MDS, census, ADT, survey readiness, and institutional billing natively.
How does roster-based rounding actually work in the field?
The provider opens the app at the building and pulls the active resident roster. Each resident’s pre-chart is framed by GlaceIQ with the latest MDS, nursing observations, recent labs, and last-round plan items. The provider rounds with a tablet, narrates the visit with GlaceScribe listening, signs orders on device, and marks the visit level on the superbill as they leave the room. 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, English and Spanish patient-facing, 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.
Can the platform handle institutional billing when the practice carries facility revenue?
Yes. GlaceRCM generates 837I and UB-04 institutional claims, handles PDPM and RUG classification driven directly from the MDS, tracks payer authorization through concurrent review and continued stay and benefit exhaustion, runs the triple-check workflow, and handles Medicare Part A with the documentation each payer requires for SNF QRP. Professional E/M, ACP, CCM, and TCM reconcile alongside the Part A stay inside one platform, which is the difference between a hybrid setup that quietly loses money on both ends and a single revenue cycle that closes cleanly.
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, no implementation charges, and no monthly minimums. 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, both professional and institutional. About 98% of 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.
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If your providers also carry adjacent panels, see how GlaceEMR runs geriatrics, internal medicine, family medicine, and palliative care.
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.