UROLOGY
Clinic, Procedure Room, and Surveillance Schedule on One Chart
The PSA trend, the cystoscopy findings, the uroflow and post-void residual, the stone history, and the next hormone injection all live in one chart, and your billing team handles in-office procedures and buy-and-bill drugs the way urology actually bills, on GlaceEMR and GlaceRCM, 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 UROLOGISTS
A Surgical Specialty Running a Chronic-Care Panel
Urology is an office full of procedures on top of a panel that needs watching for years: rising PSAs, bladder tumors on surveillance, recurrent stone formers, and men on hormone therapy. Most horizontal EHRs give you a generic problem list and leave the trending, the intervals, and the drug billing to your staff. Four pains come up in the first thirty minutes of almost every discovery call.
PSA history lives in five places
The referral letter, two outside labs, your own draws, and a scanned pathology report each hold part of the story. Nobody can see the PSA velocity at a glance, so the active-surveillance decision starts with ten minutes of hunting.
Surveillance intervals slip
A bladder cancer patient due for cystoscopy at three months, a hematuria work-up waiting on a CT, a stent that has to come out in two weeks. When the chart does not track the interval, the reminder lives on a sticky note and the patient drifts.
Buy-and-bill drugs leak revenue
Leuprolide injections, intravesical BCG, and bladder Botox all need the drug J-code, the units, the NDC, and the administration code on the same clean claim. Miss one piece and a drug you already paid for lands as a write-off.
Prior auths stall the plan
The prostate MRI, the PSMA PET, the overactive-bladder medication, and the testosterone prescription each wait on a payer. Your staff spends the afternoon on hold while the biopsy date and the patient’s patience both slide.
GLACEEMR FOR UROLOGY
An EHR Built for the Way a Urology Office Runs
GlaceEMR is ONC-certified, with 25+ years of company history behind it. The urology configuration is wired in before training starts, so the chart your team opens on day one already holds the symptom scores, the procedure templates, the surveillance schedules, and the codes your practice bills.
PSA trending and prostate tracking
Every PSA, from your lab interface or entered from an outside report, plots on one trend line with velocity and doubling time in view. Biopsy results, Gleason grade groups, MRI findings, and the active-surveillance plan sit next to it, so the next decision starts from the whole picture.
Symptom scores and voiding data
IPSS, SHIM, and overactive-bladder questionnaires can be completed by the patient on the kiosk or portal before the visit. Uroflow peak rates and post-void residuals record as discrete fields, so the BPH patient’s response to therapy reads as a trend, not a pile of notes.
Procedure notes that support the claim
Cystoscopy, prostate biopsy, urodynamics, stent removal, vasectomy, and bladder instillation templates carry the elements the claim needs, with findings captured as structured data. The surveillance interval is set from the note, so the next cystoscopy is on the books before the patient checks out.
Integrated PACS for imaging
Order the renal ultrasound, the stone-protocol CT, or the prostate MRI from the encounter and view the study in the chart alongside the report. Office bladder and transrectal ultrasound read inside the record too. No separate viewer, no add-on license at renewal.
Stone history and prevention
Each stone episode, its size and location, the treatment, the stone analysis, and the 24-hour urine results build one history per patient. The recurrent former’s prevention plan and follow-up imaging stay on schedule instead of restarting at every ER visit.
Hormone therapy and injection schedules
Androgen deprivation and testosterone therapy patients get a tracked injection schedule, with the drug, dose, lot, and next due date in the chart. Testosterone, PSA, and hematocrit monitoring surface at the right interval, and the recall list fills itself.
Included with GlaceEMR vs usually an add-on
When you price out another EMR for a urology 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 and price increase. They ship with GlaceEMR, with no tier games and no surprise line items.
| Capability | Most EMRs | GlaceEMR |
|---|---|---|
| PACS and DICOM viewer for ultrasound, CT, and MRI | Add-on license | Included |
| Hospital ADT, surgery and discharge records | Interface fee | Included (15+ hospitals) |
| Lab interfaces for PSA, urinalysis, and cultures | Per-interface fee | Included (60+ labs) |
| Self-check-in kiosk with symptom questionnaires | Third-party vendor | Included |
| GlaceOffice administration suite (HR, PTO, credentials) | Separate subscription | Included, free for clients |
| Native iOS and Android apps for providers and staff | Mobile-web only | Included |
A solo urologist can grow to a multi-provider group with an ASC relationship and satellite offices on the same platform, with no per-location upcharge and no re-implementation when you add an advanced practice provider.
FROM REFERRAL TO SURVEILLANCE
One Patient, Tracked End to End
The referral arrives with its labs and imaging attached, the hematuria or elevated-PSA work-up runs on an order set, and the cystoscopy or biopsy is documented on a template built for the claim. The claim goes out with the right modifiers and drug units, and the surveillance interval sets itself from the findings. The same chart and the same team carry the patient from the first visit to the next scheduled scope, so nothing falls between the clinic, the procedure room, and billing.
GLACERCM FOR UROLOGY
A Billing Service That Knows Procedures and Buy-and-Bill
GlaceRCM bills your claims in your EMR or ours, 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 team works your claims there. The service is built for urology’s mix of office procedures, injectable drugs, and surgical global periods.
95%+
First-pass claim adjudication. Most claims pay on the first submission, with no rework and no calendar lost to denial follow-up on the cystoscopy or the injection.
99%+
Collection rate of payer-allowed amounts*. The dollars the payer contractually owes you actually arrive, because we work the queue to resolution instead of writing the drug denial 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 day one.
*Of payer-allowed amounts.
Office procedures billed right
Cystoscopy, prostate biopsy with ultrasound guidance, urodynamics, and stent removal go out with the right component codes and modifiers. The -25 modifier fires when a significant E&M rides alongside a same-day procedure, and the 0-day and 10-day global periods are tracked so follow-ups bill correctly.
Buy-and-bill drug capture
Leuprolide, intravesical BCG, and bladder Botox are captured at the encounter with the J-code, units, NDC, and administration code on one clean claim. The drug cost stops landing as a write-off, and the biller works the queue when a payer pushes back so the dollars actually arrive.
Prior auth and denials worked
Prior authorizations for MRI, PET, and specialty medications are part of the service. Medical-necessity, bundling, modifier, and drug-unit denials are worked to resolution with appeals authored against the documentation. The write-off only happens when you sign off.
A named billing specialist
A dedicated account manager who knows your state’s urology payer mix, your hospital and surgery-center arrangements, the Medicare rules for PSA screening, 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, 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 procedure estimate, not your front desk, and soft collections are handled in-house so the receptionist checking in your 9 AM cystoscopy is not stuck on a billing call. New associates can bill on day one instead of waiting six months for an enrollment letter.
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 that recognize a new-patient consult, a BPH follow-up, or an elevated-PSA discussion and structure the note for the visit type, including the shared decision-making conversation. Up to four speakers, in person or telehealth. Charting finishes when the visit finishes.
GlaceIQ
30+ AI features tuned to your day: pre-charting that pulls the PSA trend and last scope findings, overdue-surveillance flags, ICD-10 specificity suggestions at signing, denial prediction on drug and procedure claims, and per-code reimbursement at charge entry. You review and select each one.
GlacePhoneSmart
An AI phone agent answers as your practice, books follow-ups into real scheduler slots, runs injection and surveillance recall campaigns, fills cancellations, and surfaces voicemail summaries so the front desk is not buried under reschedule calls.
A practice-branded portal, mobile app, kiosk, SMS, and email round out the stack. The 45-year-old stone patient on his phone and the 78-year-old on hormone therapy who only opens email both end up on the schedule, both finish their symptom questionnaire before they walk in, and both pay their balance without anyone at the front desk lifting a finger. Replies route back into the chart as structured tasks, so the three-month cystoscopy, the next injection, and the repeat PSA get worked on the cadence the care plan calls for.
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR
Most urology practices we talk to are on a horizontal platform that never fit a procedure-heavy specialty. 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 meds, PSA history, and the surveillance schedules for patients already being watched, with your templates, procedure notes, and order sets 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 follow-ups. Your first month of submissions is on the dashboard, the first injection and procedure claims are clean, and you have walked the denial queue with your account manager. Recall workflows are live, filling tomorrow from the surveillance list.
DAY 90
The switch starts paying for itself
Your first quarter’s dashboard shows cleaner procedure claims, faster posting, and the drug J-codes landing every time. Overdue surveillance scopes are down because the interval is set from the note, GlacePhoneSmart has cut front-desk call volume, and recall has brought hundreds of patients back on schedule. The conversation turns from migration triage to using the platform harder next quarter.
Data migration covers historical records, documents, imaging reports, problem lists, medications, allergies, PSA and lab history, surveillance schedules, and outstanding orders, handled by Glenwood from your prior vendor’s data export so your staff does not have to 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 normally. Provider training is delivered in pieces around your real schedule, and every role gets unlimited online training during onboarding with continued access for new hires. 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.
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 urology practice:
- 52000 / 52204 / 52310: cystoscopy, cystoscopy with biopsy, cystoscopy with stent removal
- 55700 / 76872 / 76942: prostate biopsy, transrectal ultrasound, ultrasound guidance
- 51728 / 51729 / 51741 / 51798: cystometrogram studies, complex uroflowmetry, post-void residual by ultrasound
- 52356 / 50590: ureteroscopy with lithotripsy and stent, shock wave lithotripsy
- 51720 / J9030 / 52287 / J0585: bladder instillation with BCG, cystoscopy with bladder chemodenervation
- 96402 / J9217: hormonal antineoplastic injection with leuprolide
- 55250 / 81003 / 84153 / G0103: vasectomy, urinalysis, PSA, Medicare PSA screening
- N40.1 / R31.x / N20.0 / R97.20 / C61: BPH with LUTS, hematuria, kidney stone, elevated PSA, prostate cancer
QUESTIONS WE HEAR EVERY WEEK
Urology Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Does GlaceEMR handle urology procedures and buy-and-bill drugs correctly?
Yes. Cystoscopy, prostate biopsy, urodynamics, stent removal, vasectomy, and bladder instillation each have a template that captures the elements the claim needs. Injectable and intravesical drugs such as leuprolide, BCG, and bladder Botox are captured at the encounter with the J-code, units, NDC, and administration code together. The -25 modifier fires when a significant E&M rides alongside a same-day procedure, and global periods are tracked so follow-up visits bill correctly. Payer-specific edits run at the scrubber, so a Medicare claim and a commercial claim get checked against the rules each one actually uses.
How does GlaceEMR track PSA history and surveillance schedules?
Every PSA result, from a lab interface or entered from an outside report, plots on one trend line with velocity and doubling time in view. Biopsy results, grade groups, and MRI findings sit next to the trend, so an active-surveillance visit starts from the whole history. Surveillance intervals for bladder cancer cystoscopy, repeat PSA, stone imaging, and hormone injections are set from the note and tracked on a recall list, so the patient who is due in three months is contacted in three months instead of whenever somebody remembers.
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 full-disk encryption at rest, and the data never trains a shared model that mixes your patients with anybody else’s.
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, payer panel, and procedure 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 about 98% of 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?
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 PSA history and active surveillance schedules, so your staff does not have to clean charts. Providers train in pieces around real clinic, not in a multi-day block that forces you to cancel patients: a 2-to-4-hour core clinical session, then targeted follow-ups for procedure templates, imaging, telehealth, and the AI tools. 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, and the account manager who runs your migration is the same one who picks up the phone in month six.
“Revenue has increased substantially… claims go out immediately.”
Naga Prasuna Madireddy, MD
Ohio
If you work alongside adjacent panels, see how GlaceEMR runs nephrology, oncology, OB-GYN, and internal 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.