Week of October 19, 2026
Weekly fraud watchlistWhere enforcement attention is focused.
Sample editorial content. These items describe general, ongoing enforcement patterns, not specific named cases. Check the agencies' own announcements for current news.
Healthcare fraud
Historically the largest source of False Claims Act recoveries.
Telehealth and remote-monitoring billing stays under review
Billing for virtual visits and monitoring devices that were not used or not medically needed is a recurring enforcement theme.
Kickback arrangements with referral sources
Payments or perks for steering patients to labs, pharmacies or equipment suppliers continue to draw civil and criminal cases.
Medicare Advantage risk-adjustment coding
Diagnoses that are added or exaggerated to raise payments are an active area of scrutiny.
Pandemic relief and SBA
Loan and relief fraud cases keep surfacing years after the programs ended.
Long look-back for PPP and EIDL fraud
Congress extended the time limit for many pandemic-loan fraud cases, so older loans can still be investigated.
Loan agents and lenders in the spotlight
Cases are not limited to borrowers: those who processed or arranged loans can face scrutiny too.
Defense and government contracting
Contractor compliance and eligibility claims.
Cybersecurity compliance claims
The Justice Department has pursued contractors that certified security standards they did not meet.
Small-business and set-aside eligibility
Pass-through arrangements where an ineligible firm does the work remain a common theory.
Product substitution and testing records
Delivering non-conforming parts or falsifying test results continues to be pursued.
Customs and tariffs
Higher tariffs raise the incentive to evade them.
Duty evasion through undervaluation and transshipment
As tariff rates rise, mislabeling origin or value to avoid duties is a growing enforcement focus.
Customs fraud under the False Claims Act
Whistleblowers can bring customs cases as qui tam suits when duties owed to the government are avoided.
Securities and markets
SEC and CFTC whistleblower programs.
Accounting and disclosure cases
Revenue recognition and inflated metrics remain staples of SEC actions against public companies.
Crypto and offering fraud
Misleading claims to raise money from investors continue to draw enforcement, with the SEC and CFTC both active.
Whistleblower program news
Changes to how tips are taken and rewarded.
DOJ Fraud Whistleblower Incentive Program announced (Oct 20, 2026)
Tips are accepted at fraud.gov with awards capped at $30,000 per tip. Read the official terms before submitting.
Coordinate before you go public
A public tip can affect a sealed qui tam filing. A short attorney consult before submitting can protect your options.