How Much are Manual NOAs Costing You?

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Routine administrative work between providers and payers costs the healthcare industry $83 billion each year, according to CAQH.

Much of that cost comes from manual, repetitive tasks that are performed admission by admission and rarely measured in isolation. Notification of Admission processing is a common source of this cost. It is required, time-sensitive, and often handled manually, even in modern hospital environments.

In hospital settings, a Notification of Admission (NOA) is the required notice providers submit to payers confirming an inpatient admission and the start of covered services. Most commercial and managed care plans mandate submission within a strict timeframe, often 24 to 48 hours. Missing that window can delay payments, trigger denials, or complicate audits, even if care was fully appropriate.

Every hospital team knows NOAs are required. Few realize just how much manual processing quietly costs in labor and revenue risk.

The Labor Cost Hiding in “Simple” NOA Tasks

Manual NOA processes depend on repetitive, error-prone steps that rarely appear on leadership dashboards. Teams must track payer-specific deadlines, manually enter admission details into multiple portals, and store confirmations outside the EHR.

Use the calculator below to estimate the annual labor costs for your organization. The result reflects time alone. It does not include errors, rework, late submissions, denial avoidance, or recovery efforts after the fact. Those costs sit downstream and compound quietly. For most hospitals, the real cost is higher.

How much does manual NOA processing cost me?

Estimate labor spend for manual Notice of Admission submissions.

You’re spending about $0 each year on processing NOA submissions.

Reclaim staff time and eliminate manual NOA recovery work.
Discover how maxRTE’s Epic-integrated automation can help →

NOA Automation Protects Your Revenue

For hospitals using Epic, automating NOAs directly inside the EHR transforms both labor economics and revenue integrity. Automated workflows trigger submissions on time, apply payer-specific rules, and generate time-stamped, auditable records, all without manual intervention. Staff time moves from fixing downstream issues to higher-value work upstream. Consistent, reliable NOA execution prevents denials and protects reimbursement before claims are even submitted.

Why Extensive Payer Support Matters the Most

Automation alone is not enough in the complex payer landscape hospitals face.

maxRTE combines Epic-integrated NOA automation with deep payer expertise and dedicated support. During white-glove onboarding, our team maps your unique payer mix to our vast network representing 75% of covered lives. As volumes grow or payers change requirements, our specialists manage updates and edge cases so complexity never shifts back to your staff.

Ready to reclaim hundreds of hours and reduce denial risk?

Learn how maxRTE automates NOAs for Epic-based hospitals and health systems →