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.
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.
Estimate labor spend for manual Notice of Admission submissions.
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.
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.
Learn how maxRTE automates NOAs for Epic-based hospitals and health systems →