Ed Gaines is the Vice President of Regulatory Affairs & Industry Liaison, Zotec Partners, LLC, the largest privately held physician and hospital revenue cycle and practice management services company in the US.
He advises Zotec clients across their hospital based and multi-specialty practice settings on healthcare regulatory issues including reimbursement policy, out of network (OON) federal and state laws, MACRA/MIPS, Medicare & Medicaid programs and health plan payor issues. He serves as industry liaison to physician specialty societies and industry trade organizations across Zotec’s client base.
Ed brings over 29 years of healthcare experience with Zotec. Since 2008, he has been a member of the ACEP Reimbursement Committee where he chairs Work Group 2 focusing on OON and bad payor issues. Ed has served as faculty for the national ACEP Reimbursement and Coding conference for over 16 years.
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).
He is a member of the North Carolina State Bar and the Bar of the US Supreme Court.