Originally Posted by CyberSEO

A skim is just a link like "?out=someshit". This is not what your WordPress theme should do, not CyberSEO. So if your theme is made for that and takes the skim URL from some custom field, core it will be able to work with CyberSEO.

As about the ad insertion, so CyberSEO has 1001 ways to do that (banners, HTML, JavaScript, embeds, Flash objects, popups, sponsor links built into gallery pages and everything else you can even imagine). Actually its the main task the plugin was made for.