As deaths_soul say it makes sure that all the correct files exist...but you haven't any problems so far anyway.
Do you have any NMM manager installed ???
I assume you have checked your load order with BOSS, and cleaned your mode's. !!!!
Probably you have altered your skyrim and skyrimPrefs.ini files (?!?)
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What you can do:
1. Use Steam to make a back up of Skyrim. AFAIK, Steam will only include original files in the back up.
2. Uninstall Skyrim using Steam and then navigate to the /common/Skyrim folder and check all Skyrim files and folders are gone.
3. Make a copy of the NMM install info folder and your mod directory.
4. Uninstall BOSS, Wyre Bash, NMM and any other Skyrim related application installed.
5. Delete the whole /common/Skyrim directory.
6. Reinstall Skyrim from your Steam Back up.
7. Navigate to the Skyrim install folder to see if there are any folders/files that don't seem vanilla.
8. If you find any stray files, any weird folders or anything that doesn't seem vanilla - delete local files and the back up you made and re-download Skyrim from Steam, verify files.
9. If it checks out, then install NMM (replacing the install info folder with the one you backed up), BOSS, etc.
10. Use NMM to reinstall your mods.
New version of NMM has an "Uninstall all mods" option, so that will clear everything out and show them as uninstalled.
It will just make it so you can re-install them again once you've cleared out your skyrim folder for whatever reason you want. (I assume you have your mod zip files)