When Fraud Looks Perfect: Why Payers Need Deepfake Detection

Sponsored by: Codoxo

Deepfake fraud has entered healthcare — and it doesn’t look suspicious. 

Generative AI can now fabricate or manipulate clinical notes, diagnostic reports, and supporting documentation that appears medically plausible, passes standard edits, and blends seamlessly into claims workflows. For payer SIU and payment integrity teams, this creates a new challenge: traditional controls often include leveraging medical documentation to verify billing/coding, not assessing meta data and other technical information to confirm the authenticity of that documentation.

In this NHCAA partner webinar, Codoxo CEO Musheer Ahmed will host a timely discussion on the evolving deepfake threat, what payers are seeing in the field, and why waiting increases both financial and compliance risk. Musheer will be joined by Kurt Spear of Highmark, who will share how Highmark is preparing for deepfake-driven fraud — what prompted action, the use cases being prioritized, and how deepfake detection fits into real-world investigation and payment integrity workflows.

Attendees will leave with a practical view of deepfake readiness and the next evolution of fraud defense.

Speakers

Musheer Ahemd, PhD
CEO & Founder, Codoxo

Kurt Spear, CFE, CISSP, VP
Financial Investigations and Provider Review, Highmark Blue Cross Blue Shield

Please note: This event is sponsored by NHCAA’s Platinum Supporting Member. Registration is limited and determined by the sponsor, and NHCAA cannot circumvent or alter the sponsor’s registration policies. Registration from personal email addresses and some organizations are not permitted. Please accept our apologies if you are unable to register for this particular event, however, NHCAA does offer other educational programs. Please click here to view upcoming educational opportunities.