Ed Gaines, JD, CCP

Zotec Partners 

Speaker

Ed Gaines is the Chief Compliance Officer for Zotec Partners, emergency medicine division–the largest privately held physician revenue cycle management (RCM) company in the US. Ed brings over 24 years of healthcare experience with Zotec.

He is responsible for compliance, coding and billing policy, coding quality assurance and training for emergency medicine, and serves on the Zotec compliance committee. He advises Zotec clients on healthcare regulatory issues including the ACA, MACRA/MIPS, Medicare & Medicaid programs and state law issues.

For the past 10 years he has been a member of the American College of Emergency Physicians (ACEP) Reimbursement Committee and has served as faculty for the ACEP Reimbursement and Coding conference. In 2015, he was asked to chair the ACEP/EDPMA Joint Task Force (JTF) on reimbursement issues, which considers issues and is developing strategy related to out of network (OON) billing and Medicaid. He is a co-founder, past chairman, and current Board of Directors and executive committee member of the Emergency Department Practice Management Association (EDPMA). Ed received EDPMA Founder’s Award (their highest honor) in 2008 and the Meritorious Service Award in 2017.

Other awards include being named a Fellow in the Health Ethics Trust (2000), the NC Chapter of the ACEP Outstanding Advocate for Emergency Medicine Award (2006), the ACEP Speaker of the Year Award (2008) and ACEP Honorary Membership Award (2012).