Clinically Led Healthcare Revenue, Integrity and Documentation Expertise

HRSM Consulting founded in 1989, is a healthcare consulting firm specializing in DRG validation, clinical documentation integrity (CDI), and coding accuracy. We partner with hospitals and health systems to ensure that clinical documentation accurately reflects patient severity, supports compliant ICD-10-CM/PCS coding, and aligns with CMS, AHA Coding Clinic, and payer audit standards.

Our approach is clinically driven and data-informed, combining deep clinical expertise with rigorous regulatory knowledge. We focus on identifying documentation gaps, mitigating audit risk, and supporting accurate reimbursement—without compromising compliance or clinical integrity.

Whether supporting internal audit teams, responding to payer reviews, or strengthening documentation practices, HRSM Consulting delivers precise, defensible, and actionable solutions tailored to the realities of today’s healthcare environment.

What sets HRSM Apart :

HRSM Consulting is led by clinicians and revenue integrity professionals with deep experience in DRG validation, CDI programs, and payer audit defense. Our work is grounded in real-world inpatient documentation, ICD-10-CM/PCS application, and AHA Coding Clinic guidance—not theoretical models. We focus on defensible outcomes that withstand payer scrutiny while supporting accurate clinical representation.


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Tell us about your organization and the support you’re looking for. We’ll be in touch to discuss next steps.

Email: RVelazquez@hrsmconsulting.com

Phone: 908-635-4014