For clinicians
You refer a patient after establishing a tinnitus, hyperacusis, or misophonia diagnosis. Kodama takes responsibility for delivering the defined program: self-paced, CBT-informed education with a weekly written check-in from a trained coach. It is a handoff of the sound-distress program, not the patient’s medical, audiologic, psychiatric, or emergency care. With the participant’s authorization, we report back when you request an update.
Built for ENT/otolaryngology, audiology, neurology, and the NPs and PAs who see these patients first.
Start here
Choose your discipline to see the patient we expect from you, what Kodama does, and what you'll get back if you ask.
What you may be seeing
Medical and audiologic evaluation may be complete, while tinnitus-related distress and functional interference remain.
What Kodama does
Provides a structured, CBT-informed educational sequence for the distress side, so the visit does not end at “there is nothing more we can do.”
What comes back
With the participant’s authorization, referral acceptance and progress on validated measures are available whenever you request an update.
Best fit: post-work-up, non-pulsatile tinnitus with clinically meaningful distress.
What you may be seeing
Amplification and sound therapy are optimized, but avoidance, sleep disruption, or catastrophic thinking remains the limiting factor.
What Kodama does
Adds a structured, CBT-informed educational component that sits outside many audiology scopes and schedules, while the patient stays in your hearing-care plan.
What comes back
Available on request: progress updates including the relevant symptom and distress measures. No new audiological testing is requested from your patient.
Good to know: hyperacusis enrollment expects a prior diagnosis, not a new audiology work-up; referring your already-evaluated patients is sufficient. Kodama does not request loudness-discomfort (LDL/ULL) or acoustic-reflex results, and doesn’t use them; where an evaluation is on file, a standard audiogram and tympanometry are the useful items.
What you may be seeing
Somatosensory or post-concussive tinnitus, migraine-associated sensitivity, or sound intolerance layered onto a neurological diagnosis.
What Kodama does
Provides education and coach-led support for the sound-distress component while you continue managing the underlying condition. Kodama does not diagnose or adjust neurological medication.
What comes back
With the participant’s authorization, a concise written update designed for your note is available whenever you request one.
Evaluate first: pulsatile, unilateral, or newly progressive symptoms should remain in work-up.
What you may be seeing
A patient whose ENT or audiology evaluation has established tinnitus, hyperacusis, or misophonia, while anxiety, insomnia, avoidance, or low mood continue to amplify the burden.
What Kodama does
Provides a structured, coach-guided educational program for the distress component after the relevant diagnosis and medical or audiologic evaluation are established.
What comes back
With the participant’s authorization, enrollment status and validated measure movement are available whenever you request an update.
Important: red-flag symptoms below need medical evaluation before referral.
Referral criteria
Kodama fits patients whose distress can be addressed behaviorally and whose medical cause is ruled out or actively managed elsewhere.
Appropriate to refer
Evaluate first: do not refer yet
Kodama is not a crisis service, does not diagnose, and is not a substitute for medical evaluation.
How to refer
The patient enrolls and names you. Kodama handles intake, eligibility, baseline assessment, and program assignment.
Confirm no unresolved medical question or red flag remains.
Ask them to name you as the referring clinician so they can consent to progress updates.
Kodama confirms the established diagnosis and referral history, applies eligibility criteria, records baseline measures, and assigns the appropriate program.
With the participant’s authorization, request acceptance, progress, engagement, or relevant notes through Kodama’s secure communication channels. Reports are not sent on a fixed schedule.
The service
Every referral follows the same program structure, coaching method, safety process, and reporting standard. Medical, audiologic, psychiatric, and emergency needs remain outside the program’s scope.
Programs
All programs are self-pay, outside insurance billing. Your practice never bills, codes, or collects anything.
A CBT-informed sequence for tinnitus distress, including attention, appraisal, sleep, and relapse prevention.
TFI · PHQ-9 · GAD-7
Strong evidence base: Cochrane review, VA/DoD guideline, multiple RCTs
View tinnitus programOne unified module sequence for every presentation, with emphasis adjusted at the weekly check-in and standing safety rules for sound-induced pain.
HIQ · PHQ-9 · GAD-7
Preliminary evidence: one face-to-face RCT; no digital-format trial yet
View hyperacusis programFrom understanding the conditioned response through gradually meeting trigger sounds and situations again.
S-Five · PHQ-9 · GAD-7
Early evidence: condition-specific sourcing still in progress
Enrollment opens soon: not yet accepting referrals; email us to be notified
View misophonia programIf you request an update
Request an update any time and you’ll get something focused on change, engagement, safety, and the next clinical decision, not a transcript of the patient’s program activity.
Illustrative example, not a real patient
Engaging consistently. Sleep disruption and sound-related avoidance are improving. No safety referral was triggered. On track with the expected program pace.
Constructed numbers, shown to illustrate report format only, not an average or expected result. Shared through a secure channel, with participant authorization, when you request an update; not sent on a fixed schedule. Kodama's own outcome data is still being collected (see Evidence, below).
Evidence
Sources are named, and the distinction between strong, moderate, and preliminary evidence is explicit.
FAQ
Scope, responsibility, reporting, risk, and billing, answered plainly.
For the defined sound-distress program, yes: it is a handoff. Kodama assumes responsibility for delivering and monitoring that program. Your broader relationship with the patient is unaffected, and medical, audiologic, psychiatric, and emergency care remain outside Kodama’s scope. There is no co-signature or supervisory obligation on your part.
Nothing on a fixed schedule. With the participant’s authorization, request an update any time and you’ll receive a short written summary covering acceptance, relevant notes, instrument scores, engagement, and any pertinent referral-out information. It is sent through a secure channel and designed to be added to your own note. If no authorized referring clinician is named, no clinician report is sent.
The PHQ-9 is administered at intake, with the C-SSRS Screener added at intake only when item 9 is positive. Every two weeks the participant completes the PHQ-2, the GAD-2, and a standalone PHQ-9 item 9 screen. Any positive ideation screen displays 988 and emergency resources and triggers the program’s fixed referral-out response, without tiering by severity. Other needs beyond Kodama’s scope are referred to an appropriate outside provider. The portal and communication channels are not continuously monitored, and routine check-ins and messages typically receive a response within 48 hours.
No. Programs are self-pay and outside insurance billing. Your practice does not bill, code, collect payment, or create a Kodama portal account.
Not yet. Kodama expects the relevant diagnosis and medical or audiologic evaluation to be established before referral. Red flags and unresolved diagnostic questions should remain with the appropriate medical or audiologic provider.
Before you refer
Use Kodama’s secure email, Spruce messaging, or secure fax when sharing identifiable health information. We will tell you plainly whether Kodama is the right next step or the patient should remain in work-up.
Routine messages typically receive a response within 48 hours. These channels are not continuously monitored and must not be used for emergencies.
Secure email: referrals@kodamahealth.comSecure Spruce call/text 216-553-3363
Secure fax 216-877-1257
