# Referral Management & Loop Closure for Medical Coding Managers with Optum CAC

> AI triages incoming referrals by acuity, schedules them into open slots in 3M 360 Encompass, and chases outgoing referral loop closure with consulting providers — no referral gets lost. Purpose-built for teams running Optum CAC — uses the native API or agent integration so nothing leaves the system of record.

- **Tool:** [Optum CAC](https://calish.com/workflows/tool/optum-cac/)
- **Role:** [Medical Coding Manager](https://calish.com/workflows/for/medical-coding-manager/)
- **Specialty:** CDI & Coding
- **Category:** Communication & Outreach
- **Canonical URL:** https://calish.com/workflows/with/referral-management-and-loop-closure-for-medical-coding-manager-with-optum-cac/

## The Problem

Incoming CDI & Coding referrals sit in fax queues and 3M 360 Encompass work lists, and outgoing referrals die without loop closure — both cost the practice revenue and clinical quality.

## What We Build in Optum CAC

AI triages incoming referrals by acuity, schedules them into open slots in 3M 360 Encompass, and chases outgoing referral loop closure with consulting providers — no referral gets lost. Purpose-built for teams running Optum CAC — uses the native API or agent integration so nothing leaves the system of record.

## Optum CAC Integration Approach

1. **Audit your Optum CAC configuration.** We map the specific Optum CAC objects, custom fields, and workflows the automation needs to touch for your cdi & coding practice.
2. **Build on the Optum CAC API or agent.** Integration happens inside Optum CAC — no data leaves the system, no parallel tool for your team to learn, no license changes.
3. **Human-in-the-loop handoff.** Every automation routes exceptions back to a human in Optum CAC with full context — AI handles the 80%, your team owns the judgment calls.

## About This Workflow

- [Referral Management & Loop Closure for Medical Coding Managers](https://calish.com/workflows/referral-management-and-loop-closure-for-medical-coding-manager/)
- AI triages incoming referrals by acuity, schedules them into open slots in 3M 360 Encompass, and chases outgoing referral loop closure with consulting providers — no referral gets lost.

## Other Optum CAC Automations

- [Controlled Substance & PDMP Compliance for Medical Coding Managers](https://calish.com/workflows/with/controlled-substance-and-pdmp-compliance-for-medical-coding-manager-with-optum-cac/)
- [Infusion Chair & Drug Scheduling for Medical Coding Managers](https://calish.com/workflows/with/infusion-chair-and-drug-scheduling-for-medical-coding-manager-with-optum-cac/)
- [Prior Authorization Submission for Medical Coding Managers](https://calish.com/workflows/with/prior-authorization-submission-for-medical-coding-manager-with-optum-cac/)
- [Claim Denial Appeal for Medical Coding Managers](https://calish.com/workflows/with/claim-denial-appeal-for-medical-coding-manager-with-optum-cac/)
- [New Patient Intake & Chart Prep for Medical Coding Managers](https://calish.com/workflows/with/new-patient-intake-and-chart-prep-for-medical-coding-manager-with-optum-cac/)
- [No-Show Reduction & Recall for Medical Coding Managers](https://calish.com/workflows/with/no-show-reduction-and-recall-for-medical-coding-manager-with-optum-cac/)
- [Chart Closure & Encounter Documentation for Medical Coding Managers](https://calish.com/workflows/with/chart-closure-and-encounter-documentation-for-medical-coding-manager-with-optum-cac/)

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