A digital voltmeter has to convert the voltage of the signal to a binary represention for digital readout. This requires an A/D. So a dual ramp A/D uses one ramp that takes the voltage higher and another ramp which lowers the voltage. This is how you create a time difference, by taking the voltage higher then low. A counter then counts the time back to the low voltage. How high the voltage of the signal is determines how high the ramp will take it. The negative ramp pulls the voltage past down the reference voltage. This is how it works.