Monkeyboy,
The bioballs in this kind of filter are not designed to function in the classic trickle filter manner, and are intended to be submerged.
Their intended function is to break up lager pieces of detritus to allow the fauna and plants in the filter to better deal with the detritus.
This filter is a variant of a mud bed “EcoSystem” filter, which I am experimenting with.
So IMHO, these approaches to filtration are viable alternatives.
I have been studying these systems for the last 6 months or so, and the systems that they are associated with are very successful.
I might add that skimmers are often used only sporadically with these systems.
I am putting one of these systems in practice on my own new 180 reef.
Regards,
Scott