Federal Verification Worksheet

Your FAFSA has been selected for Federal Verification. The Financial Aid Office must compare information from your FAFSA with information you provide on this worksheet.

Finance and Administration Records Retention Policy

POL - FA4002

The purpose of this policy is to ensure that necessary records and documents are adequately protected and maintained and to ensure that records that are no longer needed or of no value are discarded at the appropriate time. 

Tuesday, June 27, 2023

Financial Aid Asset Information

This form is necessary if on your 2015-2016 Free Application for Federal Student Aid (FAFSA), some or all of your asset information was left blank. The Financial Aid Office needs this information to complete the process of determining your financial aid eligibility. 

Financial Irregularity

POL - U1014

Committed to the highest standards of moral and ethical behavior, employees are expected to report known or suspected financial irregularities. Employees reporting known or suspected financial irregularities in good faith must feel safe and protected from retaliation. Employees found to have been making frivolous claims under the policy will be subject to disciplinary action. The purpose of this policy statement is to provide a formal protocol for communication among relevant parties.

Friday, June 1, 2018

Floating Holiday Award for Commencement Event Staff Policy and Procedures

Pacific University has adopted a Floating Holiday Award for Commencement Event Staff to recognize the additional duties and contributions for exempt staff when assisting with the May and August commencement ceremonies.  

 

Floating Holiday Award for Commencement - HR Procedures Document

 

Tuesday, March 12, 2024

General Guidelines to Safeguard Protected Health Information - Policy

POL-COM4812

The purpose of this policy is to provide practical steps that workforce members can take to achieve the general limitations on the use and disclosure of protected health information (PHI) as required by the Health Insurance Portability and Accountability Act, HIPAA. 

The following guidelines are in accordance with the final Security Rule and consistent with the HIPAA privacy requirement to safeguard protected health information (PHI).  See 45 CFR § 164.530(c).  Use of these guidelines will improve the security of protected health information, and will also increase workforce awareness of the importance of keeping protected health information private.

Pacific University will use reasonable administrative, physical, and technical safeguards to protect the privacy of protected health information and limit incidental uses or disclosures of protected health information. All members of the Pacific University workforce will follow these guidelines in handling protected health information (PHI) in order to protect the privacy of protected health information and limit incidental uses and disclosures.

PUNet ID Required to review
Updated May 2023

Confidentiality Statement for Fax with PHI Template (Updated April 2023)

Tuesday, Feb. 11, 2020

Gifts, Awards, and Prizes Policy

POL-BUS4302

This policy is intended to clarify the University’s expectations and requirements regarding purchasing gifts, gift cards, awards, and prizes utilizing university and student funds.  In addition, this policy outlines when gifts, gift cards, awards, and prizes may be appropriate, the proper procedure for submitting recipient information, the corresponding tax treatment, and to help prevent any potential fraud or misuse of university resources. 

This policy applies to all Pacific University employees, students, and non-employees associated with the University.

The policy is approved as of 3/1/22 but will have a grace period for potential consequences or sanctions for violation of the policy until 7/1/22. 

PUNID Required to view policy. 

Tuesday, March 1, 2022

Gifts— Healthcare Workforce Members

POL-COM4839

To provide ethical guidance to healthcare clinic workforce members as it relates to relationships with individuals and entities that supply goods and services to our clinics. To set forth the required standards of conduct for all employees regarding the acceptance of gifts, educational or travel subsidies, entertainment, meals, and any other form of remuneration from suppliers and business partners that refer or are in a position to refer health care business or those that provide products or services used in the delivery of health care.

The scope of this policy is all workforce members of Pacific University’s health care component. Pacific University is a hybrid entity. The health care component (i.e., the covered functions) of Pacific University must comply with this policy. All references in this policy to “Pacific University” shall be construed to refer only to the health care component of Pacific University. In addition to this policy, Pacific University also requires that designated employees, researchers, and governing board members comply with various Conflict of Interest policies concerning disclosures of financial interests and relationships with vendors, research sponsors, and business partners.

PUNet ID required to view policy.
Updated August 2023.

Friday, Dec. 20, 2019

Grad Checklist - OLD

Graduate-Professional Enrollment in Undergraduate Courses

POL-AA2010

The program faculties of Pacific University recognize that sometimes graduate students may be advised by the graduate program director or their academic advisor to take an undergraduate course to meet certain proficiency requirements or to prepare them for knowledge or skills of an unfamiliar field that will benefit their graduate research, such as skills required for interdisciplinary work. This policy provides guidelines and restrictions for Pacific graduate students enrolling in undergraduate-level coursework at Pacific.

PUNID Required to view policy.

Thursday, Feb. 25, 2021

Harassment Including Sexual Harassment

POL - U1010

Pacific University reaffirms the principle that its students, faculty, and staff have a right to be free from harassment in workplace and academic settings and activities.

Harassment is inconsistent with the nature of an academic community and in some circumstances can be a violation of federal and state law.

Wednesday, Aug. 1, 2018

Healthcare Billing and Coding - Auditing and Monitoring

POL-COM4837

Pacific University Healthcare Clinic workforce members are committed to quality, honesty and integrity in our handling of billing and coding activities within the healthcare clinics.  We are committed to operate within the laws, rules, regulations, and policies set by the federal and state governments, insurance programs and Medicare/Medicaid carriers, fiscal intermediaries, and others.

There will be both internal and external (i.e. by a contracted independent consultant, or other professional and/or government or regulatory agencies) auditing of proper coding, chart documentation, billing, and data integrity.

Policy last updated in April 2024.
PUNID required for viewing policy.

Tuesday, Nov. 13, 2018

Healthcare Billing and Coding - Complaint/Grievance Policy

POL-COM4836

Pacific University Healthcare Clinic workforce members are committed to quality, honesty and integrity in our handling of billing and coding activities within the healthcare clinics.  We are committed to operate within the laws, rules, regulations, and policies  set  by  the  federal  and  state  governments,  insurance  programs  and Medicare/Medicaid carriers, fiscal intermediaries, and others.

Each clinic will be responsible to inform patients and workforce members of their rights with regard to the billing and coding grievance policy. A grievance must be received in written form. If a billing or coding grievance comes to the clinic and can’t be resolved at the clinic level, the clinic must notify the Compliance Officer within 3 business days, documenting the date the grievance was received, the written grievance, a brief statement of the facts alleged, and any documentation that applies to the disputed item(s). Pacific University Healthcare Clinics will commit to maintain a direct channel of communication and mediation between compliance officer, individual patients, patient’s representative, or advocate to resolve any concerns in a positive and timely manner.

Policy last updated in April 2024.
PUNID required for viewing policy.

Tuesday, Nov. 13, 2018

Healthcare Billing and Coding Education and Training

POL-COM4835

Pacific University Healthcare Clinic workforce members are committed to quality, honesty and integrity in our handling of billing and coding activities within the healthcare clinics.  We are committed to operate within the laws, rules, regulations, and policies set by the federal and state governments, insurance programs and Medicare/Medicaid carriers, fiscal intermediaries, and others.

The University requires full compliance with all relevant health care billing and coding regulations. All billing and coding workforce members are required to have a strong knowledge of, and to stay current with, applicable laws and regulations as well as University policies and procedures relevant to their areas of responsibility.

Policy last updated in April 2024.
PUNID Required to view policy.

Tuesday, Nov. 13, 2018

Healthcare Billing and Compliance Standards

POL-COM4834

Pacific University Healthcare Clinic workforce members are committed to quality, honesty and integrity in our handling of billing and coding activities within the healthcare clinics.  We are committed to operate within the laws, rules, regulations, and policies set by the federal and state governments, insurance programs and Medicare/Medicaid carriers, fiscal intermediaries, and others.

All clinical billing and coding will be done in compliance with all applicable state and federal laws and regulations.  Pacific University follows the standards set forth by the Office of Inspector General (OIG) to identify areas of billing and coding at risk for non-compliance.  Pacific University workforce members will ensure their billing and coding is compliant with these standards.

Policy last updated in April 2024.
PUNID required to view policy.

Tuesday, Nov. 13, 2018

Healthcare Clinic Code of Conduct

POL-COM4802

The Code of Conduct provides guidance for professional conduct. The success and reputation of the university in fulfilling its mission depends on the ethical behavior, honesty, integrity and good judgment of each member of the community.

The Code of Conduct outlines principles, policies and some of the laws that govern the activities of the University and to which our employees who represent the University must adhere. Those acting on behalf of Pacific University Healthcare Clinic Operations have a general duty to conduct themselves in a manner that will maintain and strengthen the public’s trust and confidence in the integrity of the University and take no actions incompatible with their obligations to the University.

Those acting on behalf of the University in a capacity related to Health Care Clinics must practice and annually attest to and sign the Code of Conduct, Confidentiality of Records Agreement and Acknowledgement of Pacific University Healthcare Clinic Policies and Procedures.

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Healthcare Code of Conduct Form for Signature (9/2021)

Tuesday, Feb. 9, 2021

Healthcare Clinic Operations Workforce Training Policy

POL-COM4813

The purpose of this policy is to establish a standard for training for all new and existing members of the Pacific University Healthcare Clinic workforce. This policy will cover initial, as well as periodic re-training standards. All workforce members of Pacific University receive training on current Federal, State and other applicable healthcare regulations. 

The scope of this policy is all workforce members of Pacific University’s Healthcare Clinics. Pacific University is a hybrid entity. Only the health care component (i.e., the covered functions) of Pacific University must comply with this policy. All references in this policy to “Pacific University Healthcare Clinics” shall be construed to refer only to the health care component of Pacific University.

PUNet ID Required to review
Updated August 2023

Tuesday, Nov. 6, 2018

Healthy Meeting Policy

POL – U1006

The purpose of this policy is to provide an environment conducive to and supportive of health and well being for all Pacific University Faculty, Staff, Students, and guests.  The strong relationship between diet and health and the increasing rates of weight problems make supporting healthy food choices at Pacific part of our commitment to health. Pacific University is committed to providing an environment that encourages healthy lifestyles among its employees, students, and partners.  As meetings are a central aspect of the workplace, the University asks individuals who organize meetings and events to include healthy food and beverage options when refreshments are served, and dedicated opportunities for physical activity. 

Monday, March 10, 2014

Higher Education Opportunity Act (HEOA) Notification

This document informs students that the illegal distribution of copyrighted materials may subject them to criminal and civil penalties and describes the steps that Pacific will take to detect and punish illegal distribution of copyrighted materials. Distribution of this information to students is required by the Higher Education Opportunity Act (HEOA).

Pacific University Compliance with the Higher Education Opportunity Act Peer-to-Peer File Sharing Requirements

Friday, Nov. 7, 2014

HIPAA Incident Reporting and Breach Notification Policy and Procedure

POL-COM4814

The purpose of this policy is to set forth Pacific University’s process for addressing potential breaches of unsecured protected health information from incident discovery to investigation / risk assessment and potential notification. Pacific University has established a comprehensive HIPAA privacy and security program to prevent unauthorized access to protected health information (PHI). This policy sets forth Pacific's approach to investigating and responding to incidents that may involve unauthorized use or disclosure of PHI. 

It is the policy of Pacific University to be prepared for, to prevent and to respond to information security incidents. Once a security incident is suspected and reported to the privacy officer, he/she will analyze the available information in order to determine if the security incident constitutes a data breach as defined by the HIPAA Omnibus Rule. If it is determined that a breach has occurred, procedures to mitigate the harmful effects of the incidents including containing and eradicating the incident, will be put into place. Security incidents and their outcomes will be documented and stored electronically in a secure location.

PUNet ID Required to review
Updated March 2023

Tuesday, Nov. 6, 2018

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