the case-mix and wage-adjusted national 60-day episode payment is adjusted for case-mix based on the patient’s condition and care needs or case-mix assignment. that’s not to say that your average, run-of-the-mill studio release is of poor quality. it so happened that fruit was causing some issues with yeast, due to the amount of sugar in fruit, sugar also doing bad things to a person’s skin. it was so casual and natural. i’m wondering if i’m missing something and if you could point me in the right direction or perhaps where to poke around. spray on your hands and rub it gently over the problem area. 