Ed Gaines Email and Phone Number
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Edward (Ed) R. Gaines III, JD, CCP, is the Vice President of Regulatory Affairs & Industry Liaison, at 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, Medicare & Medicaid programs, health plan payer issues, advocacy, and updates on the No Surprises Act (NSA). He serves as industry liaison to physician specialty societies and industry trade organizations across Zotec’s client base.With over 30 years of professional healthcare experience with Zotec and the combined entities, Ed brings unparalleled depth of knowledge and experience to his role at Zotec. Since 2008, he has been a member of the American College of Emergency Physicians (ACEP) Reimbursement Committee where he chairs Work Group 2 focusing on the NSA, OON, and bad payer issues. Ed has served as faculty for the national ACEP Reimbursement and Coding conference for over 18 years and is a co-founder, past chair, and current board of directors and executive committee member of the Emergency Department Practice Management Association (EDPMA). Recently, Ed received the 2024 RBMA Global Achievement Award. He has also received EDPMA’s Meritorious Service Award in 2017 and Founder’s Award (their highest honor) in 2008. Other awards include the ACEP Honorary Membership Award (2012), the ACEP Speaker of the Year Award (2008), the NC Chapter of the ACEP Outstanding Advocate for Emergency Medicine Award (2006), and finally, he was named a Fellow in the Health Ethics Trust (2000). Ed is a member of the North Carolina State Bar and the Bar of the US Supreme Court.
Zotec Partners
View- Website:
- zotecpartners.com
- Employees:
- 639
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Vice President Of Regulatory Affairs & Industry LiaisonZotec Partners Sep 2019 - PresentGreeensboro, NcRegulatory issues & government relations matters including Medicare, Medicaid, ACA, MACRA, CARES Act, revenue cycle documentation, coding and billing issues and out of network/surprise billing for physician groups and hospitals under state and federal law.
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Chief Compliance OfficerZotec Partners Sep 2013 - Sep 2019Greensboro/Winston-Salem, North Carolina AreaZotec Partner's Emergency Medicine (EM) Division: Chief Compliance Officer Zotec Partners provides medical coding, billing and physician practice management services to hospital-based physicians nationwide. Responsible for ED compliance, coding and billing policies and presents to client groups regularly on regulatory issues including Medicare, Medicaid, ACA, MACRA/MIPS, payer issues and out of network federal and state laws and regulations.
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Chief Compliance OfficerCbiz Mmp Jan 2008 - Aug 2013Greensboro--Winston-Salem--High Point AreaCCO responsible for physician & hospital revenue cycle management compliance for radiology, emergency medicine, anesthesia & pathology and a staff of quality assurance managers and coding Q/A specialists, for a CBIZ subsidiary of approx. $120M annual revenues. MMP was acquired by Zotec Partners in Sept. 2013.
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Sr. Vice President And General CounselHbr Healthcare Business Resources Mar 1996 - Dec 2007General Counsel and Compliance Officer with responsibility for Human Resources, Provider Enrollment, and HIPAA Privacy Officer for revenue cycle management firm of approx. 700 employees with multi-state operations. HBR was acquired by CBIZ MMP in late 2007.
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Assistant General CounselPhyamerica Physician Group, Inc. 1994 - 1996Assistant General Counsel--Primary legal services for PhyAmerica Physician Services, Healthcare Business Resources (HBR) and PhyAmerica Government Services--went to work exclusively for the HBR subsidiary in March 1996.
Ed Gaines Skills
Ed Gaines Education Details
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History (Major), Economics (Minor)
Frequently Asked Questions about Ed Gaines
What company does Ed Gaines work for?
Ed Gaines works for Zotec Partners
What is Ed Gaines's role at the current company?
Ed Gaines's current role is Vice President of Regulatory Affairs & Industry Liaison at Zotec Partners.
What is Ed Gaines's email address?
Ed Gaines's email address is eg****@****mmp.com
What is Ed Gaines's direct phone number?
Ed Gaines's direct phone number is (800) 798*****
What schools did Ed Gaines attend?
Ed Gaines attended Wake Forest University School Of Law, Alma College.
What are some of Ed Gaines's interests?
Ed Gaines has interest in The Local Cta For Usta, Usta League Tennis, Greensboro Nc.
What skills is Ed Gaines known for?
Ed Gaines has skills like Healthcare, Physicians, Hospitals, Medicare, Healthcare Management, Hipaa, Medicaid, Medical Billing, Healthcare Information Technology, Emergency Medicine, Healthcare Consulting, Emr.
Who are Ed Gaines's colleagues?
Ed Gaines's colleagues are Pamela Nealy, Darren Ratliff, Mba, Melinda Williams, Iaan Brandenburg, Jennifer Morris, Amanda Kauffman, Jeff Fox.
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