Stop Orthopedic ASC Denials Before They Happen

Your Questions Answered

Does patient data leave our facility?

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Your data is protected by enterprise-grade encryption in transit and at rest, transmitted via secure channels, and handled under a signed Business Associate Agreement. We're fully HIPAA compliant—SOC 2 architecture, access controls, audit logging. Your PHI is never sold, shared, or used for any purpose beyond your denial prevention service.

What does our IT team need to do?

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Nothing. CertaGrid is a cloud service. Upload claim PDFs through a secure portal, get a validation report by 8am. No software to install, no integrations required, no IT involvement. Start with a free 14-day trial—no commitment.

How fast do we see results?

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Claims are analyzed in seconds. You receive a report showing every denial risk flagged with the specific policy citation, plus a documentation checklist showing what's missing. Reports are delivered by 8am for overnight submissions. At the end of your pilot, we deliver a Revenue Impact Report showing exactly what was caught and the value protected.

What types of denials do you catch?

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We specialize in orthopedic ASC denials: site-of-service denials on TKA and THA, medical necessity challenges for spine procedures, documentation gaps, prior authorization issues, and payer-specific bundling errors. Our logic updates automatically as payer rules evolve.

How is this different from our RCM vendor?

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RCM vendors work downstream — after denials happen. We work upstream — before claims are submitted. Think of us as denial prevention, not denial management. We complement your existing RCM by stopping problems before they start.

How do we know this works before we commit?

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Your 14-day free trial shows exactly what we catch—denial risks, documentation gaps, revenue at risk. If we're not flagging issues that matter, you walk away. No contracts, no cancellation penalties. We're confident because we've built this on 20 years of revenue cycle experience—we know where denials hide.

Reimbursement Intelligence — Not Another RCM Vendor

Your RCM vendor chases denials after they happen. We prevent them before claims are submitted. CertaGrid analyzes every case for site-of-service risk, documentation gaps, and payer-specific triggers—flagging problems while decisions are still reversible.
What the CertaGrid Catches

Total Joint Defense

Pre-submission risk scoring for TKA and THA cases. We analyze BMI, ASA class, OSA severity, and comorbidities to flag site-of-service denial risk before submission.

Appeal Letter Generation

When high-risk cases proceed, CertaGrid generates payer-specific appeal documentation with clinical justification — ready before the denial arrives.

Spine Intelligence

Automated detection of missing conservative care documentation, prior authorization gaps, and medical necessity triggers for lumbar and cervical procedures.

Built for Smaller Facility Reality

We've worked inside healthcare systems with limited IT staff and tight budgets. CertaGrid was built to deliver results fast—no implementation project, no training required, no IT lift. Just send claims and get answers.

Coming March 2026

We're launching with a limited pilot for orthopedic and spine-focused ASCs. No hardware, no setup fees, no long-term contracts. Just denial prevention that works.Want early access when we launch?

Founded by Scott Williams, a healthcare systems architect with experience in US hospital operations and revenue cycle infrastructure.
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