Referral Question

Hello All,
What happens in the event that a NP or PA is involved in the face-to-face visit? We do not accept referrals that are signed by a PA or NP, but my concern is the actual face-to-face not performed by the Physician. To me, being a Auditor, if a NP or PA is signing off on the face-to-face with the physician, that falls under incident to and would not meet since there is a change in the POC to refer the patient to HH.
Any insight would be most helpful.

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