Center to Advance Palliative Care

I know that this topic has probably already been discussed ad nauseum but our director of QI just came back from a meeting and suggested that the way we are doing our weekend F2F encounters may no longer be in compliance with the regulations.
We are a medium-to-large hospice and palliative care program with 5 or so full time and 5 or so part time physicians as well as 12 full or part time NP's. Our weekend coverage is split between the physicians covering our 16 bed inpatient hospice unit and our NP's handling our non-inpatient hospice and all of our palliative care call. Initially when the f2f regulations came out NP's voiced concerns that they would have to do f2f encounters on the admissions who needed it while still covering all of their previous weekend duties. (we cover a very large service area surrounding Charlotte and our combined hospice and palliative care census is over 800) As you can imagine this change did not go over well. We did manage to work out a system that allowed for the NP's not on call who were interested in "volunteering" to the weekend needed f2f encounters for a contract rate. It was not the best and there was still grumbling but at least it ensured that we were in compliance. When the follow-up ruling came out a couple of months back that said that the f2f encounter could wait two days if it was not possible to have practitioner see the patient the NP's on our team breathed a sigh of relief. we still planned to make a reasonable attempt to find an NP among the interested NP's to make the visit but if no one was "available" we would hold the f2f until Monday. With what our QI director is now saying the anxiety level of the NP's has risen again as you can imagine.
I am interested in hearing how others are doing the f2f on the weekends and how you interpret the regulations. Are we now to assume that we need to have a practitioner available 24/7 to do f2f encounters? Has anybody actually heard it from the mouth of medicare or is this an over interpretting of the regulations? Because we have so many practitioners are we hard pressed to say that we didn't have anybody available?

Thanks.