Using words like documentation, best practices, and standards can often exude a negative emotion or reaction. They seem to conjure feelings of defeat or mounds of paperwork. However, the weight of meeting requirements doesn't have to become your organizations reality!
In the “verification of credentials” process, best practice is to have the following information for each verification, regardless of the type of standard (TJC, DNV, NCQA, etc.) your organization adheres to. And in doing so, random audits will be a natural, welcomed step in your process.
Retain the name and title of the person who verified the information provided. If, for instance, a phone call is made, document the name and title of the employee who made that call. For years to come, their name and title should remain with the record regardless of that employee’s retention. If a phone call is the method used, it should be recorded or followed up with an email or fax so there is documentation of information provided.
There is not a need to document every attempt to obtain the verification. Simply record the date and time the verification was successfully obtained. The date is of utmost importance for items that aren’t static- such as licensure.
It is of utmost importance to note the source of the verification. Given the ample methods available, this source could greatly vary. It could be a person you spoke with, a fax from a human resource manager, or the URL of the website you searched. As previously stated, if it is a person, obtain and document the name and title.
You may run into discrepancies or distinctions between the information from the provider/applicant and what can actually be verified. Should this be the case, document the discrepancy. If discrepancies are found, further action may be in order. Some industries require the applicant certify and/or attest that information provided is accurate and in some cases, discrepancies found may be enough to prevent an applicant from being hired. Also, identified gaps in employment/education may be a red flag that the applicant is hiding information.
Many industries require verification to be attached to the file. This is something your organization should embrace! In the event of a dispute, you have the ability to show attorneys or auditors the information provided, who provided the information, and why decisions were made.
Credentialing software is a technology available to arm those performing the verifications and your organization. Excellent credentialing software will document many of these processes for you and will do so in a way that meets your organization’s requirements. There are some instances that shortcuts can be taken; verification of credentials is not one of them.